| Doctor Name: | LISA M NAEGELE |
| NPI Number: | 1952385734 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | 31785 |
| Business Practice Address: | 100 Fair Ave Middlebourne, WV - 261499622 |
| Business Phone Number: | 3047585111 |
| Business Fax Number: | 3047584646 |
| Mailing Address: | 100 Fair Ave, MIDDLEBOURNE |
| State: | WV |
| Postal Code: | 261499622 |
| Phone Number: | 3042339314 |
| Fax Number: | |
| NPI Enumeration Date: | 12/05/2005 |
| NPI Last Update Date: | 03/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 31785 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |