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Lisa Marie Park, FNP-BC
Family Medicine Physician in Triadelphia, West Virginia
NPI 1639944382

Lisa Marie Park is a Family Medicine Physician based in Triadelphia, WV. Lisa Marie Park practices in Triadelphia, WV and has the professional credentials of FNP-BC. The NPI Number for Lisa Marie Park is 1639944382 and holds a License No. 117804 (West Virginia).

The current practice location address for Lisa Marie Park is 4509 National Rd, Triadelphia, WV and can be reached out via phone at 304-639-0873.

Location: 4509 National Rd, Triadelphia, WV, 26059-0285
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639944382
Provider Name
Lisa Marie Park
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4509 National Rd, Triadelphia, WV, 26059-0285
Phone Number
304-639-0873
Fax Number
Provider Enumeration Date
11/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4509 National Rd
City
Triadelphia
State
West Virginia
Zip
26059-2013
Phone Number
304-639-0873
Fax Number
person
Provider Business Mailing Address Details
Address
4509 National Rd
City
Triadelphia
State
West Virginia
Zip
26059-2013
Phone Number
304-639-0873
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
117804 (West Virginia)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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