Provider Demographics
NPI:1831156058
Name:URICK, LOIS A (MD)
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:A
Last Name:URICK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1305 WEBSTER RD
Mailing Address - Street 2:SENECA HEALTH SERVICES INC
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651-1125
Mailing Address - Country:US
Mailing Address - Phone:304-872-6577
Mailing Address - Fax:304-872-5415
Practice Address - Street 1:1 STEVENS RD
Practice Address - Street 2:SENECA HEALTH SERVICES INC
Practice Address - City:SUMMERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26651-9704
Practice Address - Country:US
Practice Address - Phone:304-872-2659
Practice Address - Fax:304-872-1685
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
WV205792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
H41090Medicare UPIN