Most Relevant Information
Provider Data
| NPI Number: | 1003684853 |
| Provider Name: | LAVINA J PENNELL |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/12/2023 |
| Last Updated: | 12/12/2023 |
Provider Practice Location
50 OHIO ST
WHEELING
WV
260032066
Practice Location Phone/Fax
| Phone: | 6185012462 |
| Fax: |
Provider Mailing Location
50 OHIO ST
WHEELING
WV
260032066
Provider Mailing Phone/Fax
| Phone: | 6185012462 |
| Fax: |