| Lasting Wellness, Llc | |
|
1505 Mount Vernon Rd Charleston WV 25314-2533 | |
| (606) 424-6115 | |
| Not Available |
| Full Name | Lasting Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1505 Mount Vernon Rd, Charleston, West Virginia |
| Authorized Official Name and Position | Samantha Shawver (NURSE PRACTITIONER) |
| Authorized Official Contact | 6064246115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Wellness, Llc 1505 Mount Vernon Rd Charleston WV 25314-2533 Ph: (606) 424-6115 | Lasting Wellness, Llc 1505 Mount Vernon Rd Charleston WV 25314-2533 Ph: (606) 424-6115 |
| NPI Number | 1295525640 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295525640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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