Mccoy, Lance Morgan

Mccoy, Lance Morgan is an individual health care provider with primary practice located at 2801 Dudley Ave Suite B, Parkersburg WV 26101-2105. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Mccoy, Lance Morgan can be contacted via phone (304) 428-1114.

Contact Information

Primary practice address
2801 Dudley Ave Suite B Parkersburg WV 26101-2105
Phone: (304) 428-1114
Fax: (304) 428-1135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 19159 West Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 19159 West Virginia

Profile Details

NPI number 1679578736
LBN Legal business name Mccoy, Lance Morgan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 18th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679578736 NPPES
Ohio MEDICAID 2031447
Ohio MEDICAID 0116263002

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