Provider Demographics
NPI:1417177742
Name:LAYNE STUART, CORINNE MICHEL (DO)
Entity Type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:MICHEL
Last Name:LAYNE STUART
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:527 MEDICAL PARK DR
Mailing Address - Street 2:STE. 402
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330
Mailing Address - Country:US
Mailing Address - Phone:681-342-3500
Mailing Address - Fax:681-342-3561
Practice Address - Street 1:527 MEDICAL PARK DR
Practice Address - Street 2:STE. 402
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330
Practice Address - Country:US
Practice Address - Phone:681-342-3500
Practice Address - Fax:681-342-3561
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV2556208VP0014X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine