LISA J RYAN

WELLSPRING FAMILY MEDICINE PC

Dr LISA J RYAN is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2011.

Contact

WELLSPRING FAMILY MEDICINE PC

31452 VETERANS MEMORIAL HWY
TERRA ALTA
WV
267649715

Tel: 3047891003

LISA J RYAN Information

Npi 1477911428
Pac Id 9436458304
Professional Enrollment Id I20160427000667
Last Name RYAN
First Name LISA
Middle Name J
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WELLSPRING FAMILY MEDICINE PC
Group Practice Pac Id 7012986763
Number Of Group Practice Members 11
Line 1 Street Address 31452 VETERANS MEMORIAL HWY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TERRA ALTA
State WV
Zip Code 267649715
Phone Number 3047891003
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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