LAWRENCE BLAIR THRUSH MD
Allergy and Immunology
Charleston, West Virginia
Provider NPI: 1356333405
Provider Information:LAWRENCE BLAIR THRUSH MD
Practice Location:
3411A NOYES AVE SE CHARLESTON, WV 25304 US
Tel: 304-344-2459 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 207KA0200X | Physicians Allergy & Immunology Allergy | WV | 11974 |
Y | 207K00000X | Physicians Allergy & Immunology | WV | 11974 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS | 000113916 | WV | 01 |
0070499000 | WV | 05 | |
AETNA | 4252011 | WV | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
JOBS WV - Page 1
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