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NPI Code Detail

MEDICARE: CODY LUCAS RAMSEY PRSS

MEDICARE:   CODY LUCAS RAMSEY  PRSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist20-925WV

General Provider Information

NPI Number : 1538885439
Entity Type Code : Individual
Provider Name (Legal Business Name) : CODY LUCAS RAMSEY PRSS
Provider Business Mailing Address
First Line : 1206 QUARRIER ST
Second Line :
City : CHARLESTON
State : WV
Zip : 25301-1843
Country : US
Telephone Number : 304-400-9768
Fax Number :
Provider Business Practice Location Address
First Line : 1206 QUARRIER ST
Second Line :
City : CHARLESTON
State : WV
Zip : 25301-1843
Country : US
Telephone Number : 304-400-9768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2022
Last Update Date : 10/13/2022

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Directions to “ CODY LUCAS RAMSEY PRSS” Practice Location

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