Provider Demographics
NPI:1336284520
Name:SADORRA, LAGRIMAS BABIERA (MD)
Entity Type:Individual
Prefix:DR
First Name:LAGRIMAS
Middle Name:BABIERA
Last Name:SADORRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1326
Mailing Address - Street 2:
Mailing Address - City:ST ALBANS
Mailing Address - State:WV
Mailing Address - Zip Code:25177
Mailing Address - Country:US
Mailing Address - Phone:304-722-7163
Mailing Address - Fax:304-722-7165
Practice Address - Street 1:200 KANAWHA TERRACE
Practice Address - Street 2:
Practice Address - City:ST ALBANS
Practice Address - State:WV
Practice Address - Zip Code:25177
Practice Address - Country:US
Practice Address - Phone:304-722-7163
Practice Address - Fax:304-722-7165
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV12801207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine