MEDICARE: LAUREN ELIZABETH RUNYON

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1851120190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELIZABETH RUNYON

Provider Business Mailing Address
First Line	:	1253 MATE CRK. RD.
Second Line	:
City	:	RED JACKET
State	:	WV
Zip	:	25692
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1253 MATE CRK. RD.
Second Line	:
City	:	RED JACKET
State	:	WV
Zip	:	25692
Country	:	US
Telephone Number	:	304-733-1094
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2024
Last Update Date	:	07/26/2024

Similar Medicare Providers

1093808172 — WIGBERTO C CAMOMOT
Practice Location Address:

329 MAIN STREET
RED JACKET, WV
25692-0329

Practice Phone: 304-426-6428
Practice Fax: 304-426-8413

1174790091 — WIGBERTO C CAMOMOT MD INC
Practice Location Address:

329 MAIN STREET
RED JACKET, WV
25692

Practice Phone: 304-426-6428
Practice Fax:

1073123717 — PAUL E MAYNARD
Practice Location Address:

ROUTE 6 LOT 110 MATE CREEK RD
RED JACKET, WV
25692

Practice Phone: 304-426-5932
Practice Fax:

1518578558 — SHAYLA RAEANN COX
Practice Location Address:

101 INDIAN ALLY , APARTMENT 20
RED JACKET, WV
25692

Practice Phone: 304-426-8650
Practice Fax:

1396358826 — TABITHA LEANN FERGUSON
Practice Location Address:

158 MITCHELL BRANCH ROAD
RED JACKET, WV
25692

Practice Phone: 304-426-5924
Practice Fax:

1174136642 — DARLENE NMN HENSLEY
Practice Location Address:

224 MITCHELL BRANCH ROAD
RED JACKET, WV
25692

Practice Phone: 606-625-1099
Practice Fax:

1427661917 — DEXTER JUDE JR.
Practice Location Address:

720 MITCHELL BRANCH ROAD
RED JACKET, WV
25692

Practice Phone: 304-426-8541
Practice Fax:

Directions to “ LAUREN ELIZABETH RUNYON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.