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Contact Information

LISA A WAUGH, LMT
1109 JEFFERSON RD
SOUTH CHARLESTON, WV25309-9780
 Phone: 304-610-7888
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for LISA A WAUGH · (Female)

NPI Number 1053517011
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 06/26/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WV License # 0388
  • WV Other 0388 LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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