Lara Beth Thornsbury, RN
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Poca, WV
NPI 1487596599 · NPPES record last updated Apr 7, 2026
Key facts
- NPI
- 1487596599
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 111773 (WV)
- Practice address
- 804 Evergreen Cir
Poca, WV 25159-7540 - Phone
- (304) 437-7131
- NPI assigned
- Apr 7, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111773 | WV | MD | Critical Care Medicine (Internal Medicine) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 111773 | WV | Yes |
Addresses
Primary practice location
804 Evergreen Cir
Poca, WV 25159-7540
Mailing address
804 Evergreen Cir
Poca, WV 25159-7540
Other providers in Poca, WV
- Melissa Smith
- Patricia Smith
- Gina Starcher
- Agnes Stover
- Vanesa Marie Stover
- Valley Health Systems Inc
- Valley Health Systems, Inc.
- Charity White
- Faith Cheyenne Wilson
- Winfield Family Pharmacy
All providers in Poca, WV · Critical Care Medicine (Internal Medicine) Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.