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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N207KA0200XPhysicians
Allergy & Immunology
Allergy
WV11974
Y207K00000XPhysicians
Allergy & Immunology
WV11974

Other Provider Identifiers:

IssuerNumberStateType
BCBS000113916WV01
0070499000WV05
AETNA4252011WV01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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