| Dr Lisa Suzanne Noble, DO | |
| 
					651 Colliers Way, Suite 301, Weirton, WV 26062-5053  | |
| (304) 797-6520 | |
| (304) 797-6525 | 
| Full Name | Dr Lisa Suzanne Noble | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Adolescent Medicine | 
| Location | 651 Colliers Way, Weirton, West Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942263819 | NPI | - | NPPES | 
| 1000194000 | Medicaid | WV | |
| 2255456 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 1857 (West Virginia) | Primary | 
| Entity Name | Wmc Physician Practices Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1518303288 PECOS PAC ID: 0244466753 Enrollment ID: O20131111001065  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Lisa Suzanne Noble, DO Po Box 2147, Weirton, WV 26062-1347 Ph: (304) 723-6040  | Dr Lisa Suzanne Noble, DO 651 Colliers Way, Suite 301, Weirton, WV 26062-5053 Ph: (304) 797-6520  | 
Dr. Dana Tiberio Lounder, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3710 Pennsylvania Ave Ste B, Weirton, WV 26062 Phone: 304-914-3893 Fax: 304-844-9562  | |
Dr. Anna Maria Suray, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3045 Pennsylvania Ave, Suite 3 Level 1, Weirton, WV 26062 Phone: 304-723-4000 Fax: 304-794-7100  |