Starks, Lawanna Marie

Starks, Lawanna Marie is an individual health care provider with primary practice located at 21 Auction Ln Ste A , Buckhannon WV 26201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Starks, Lawanna Marie can be contacted via phone (304) 473-2305.

Contact Information

Primary practice address
21 Auction Ln Ste A Buckhannon WV 26201
Phone: (304) 473-2305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006-00525 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28910 West Virginia

Profile Details

NPI number 1457433690
LBN Legal business name Starks, Lawanna Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Jan 10th, 2021 - about 5 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 1457433690 NPPES
North Carolina MEDICAID 5906849

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