Lorn a Wolfe
Organization Active NPI Pediatrics Physician · Thornton, WV
NPI 1861586802 · NPPES record last updated Dec 20, 2010
Key facts
- NPI
- 1861586802
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- LORN A WOLFE
- Practice address
- 2287 S Mountaineer Hwy
Thornton, WV 26440-7171 - Phone
- (304) 265-6963
- Fax
- (304) 265-6961
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cynthia D Wolfe
- Title
- Office Manager
- Phone
- (304) 265-6963
National Provider Directory
Locations
2287 S Mountaineer Hwy
Thornton, WV 26440
Phone (304) 265-6963
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
2287 S Mountaineer Hwy
Thornton, WV 26440-7171
Mailing address
2287 S Mountaineer Hwy
Thornton, WV 26440-7171
Phone (304) 265-6963
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810001396 | Medicaid | WV |
Other names
- Mountaineer Family Care Cneter
Other providers in Thornton, WV
- Creative Connections Psychotherapy, LLC
- David Harris
- Jennifer Jennings
- L&B Dental, PLLC
- Andrea Denise Lopez
- Molly McCartney
- Jared Paul McCrobie
- Mountaineer Family Care Center
- Lisa Moyer
- Karen L Rutherford
All providers in Thornton, WV · Pediatrics 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 Dec 20, 2010. 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.