Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Dougherty

Individual provider Homemaker · NPI 1063016475

Lisa Dougherty is a Homemaker in Fairmont, West Virginia. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

503 Morgantown Ave
Fairmont, WV 26554-4388
Phone: (304) 363-7375
Fax: (304) 363-7376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Homemaker (primary) Taxonomy 376J00000X

Record details

NPI number1063016475
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 25, 2020
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address217 Hecks Run Rd, Fairmont, WV 26554-2277

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