| Mary Lou Fragile Do | |
|
Rr 2 Box 171c Greyrock Prof Park Lewisburg WV 24901 | |
| (304) 647-3331 | |
| (304) 647-9799 |
| Full Name | Mary Lou Fragile Do |
|---|---|
| Speciality | Family Medicine |
| Location | Rr 2 Box 171c, Lewisburg, West Virginia |
| Authorized Official Name and Position | Mary Lou Fragile (DO FAMILY PRACTICE) |
| Authorized Official Contact | 3046473331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Lou Fragile Do Po Box 1788 Lewisburg WV 24901 Ph: (304) 647-3331 | Mary Lou Fragile Do Rr 2 Box 171c Greyrock Prof Park Lewisburg WV 24901 Ph: (304) 647-3331 |
| NPI Number | 1437184462 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437184462 | NPI | - | NPPES |
| 2003958000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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