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 |
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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 |