Provider Demographics
NPI:1841854965
Name:LOSIER, SEAN MICHAEL PERCY (MD)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:MICHAEL PERCY
Last Name:LOSIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 MACCORKLE AVE., SE
Mailing Address - Street 2:CAMC FAMILY MEDICINE CENTER ROBERT C. BYRD CLINICAL TEA
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25304
Mailing Address - Country:US
Mailing Address - Phone:304-388-4600
Mailing Address - Fax:304-388-4621
Practice Address - Street 1:3200 MACCORKLE AVE., SE
Practice Address - Street 2:CAMC FAMILY MEDICINE CENTER ROBERT C. BYRD CLINICAL TEA
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304
Practice Address - Country:US
Practice Address - Phone:304-388-4600
Practice Address - Fax:304-388-4621
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2019-12-23
Deactivation Date:2019-12-09
Deactivation Code:
Reactivation Date:2019-12-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program