Healthcare Provider Details

I. General information

NPI: 1205547841
Provider Name (Legal Business Name): LUCINDA JANE ENGLAND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2022
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 CHESTNUT RIDGE RD
MORGANTOWN WV
26505-2807
US

IV. Provider business mailing address

930 CHESTNUT RIDGE RD
MORGANTOWN WV
26505-2807
US

V. Phone/Fax

Practice location:
  • Phone: 304-293-5323
  • Fax: 304-293-8724
Mailing address:
  • Phone: 304-293-5323
  • Fax: 304-293-8724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number33557
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: