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:
Health care specialties
Specialty | Code | License # | 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 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1679578736 | NPPES |
Ohio | MEDICAID | 2031447 | |
Ohio | MEDICAID | 0116263002 |
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