DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARON D WILLIS

Active Sole Proprietor

Community Health Worker · SOUTH CHARLESTON, WV

Registration Details

NPI Number
1730772237
Provider Type
Individual
Gender
Male
NPI Issued
Feb 16, 2021 (5.1964423104647 yrs)
Last Updated
Feb 16, 2021
Sole Proprietor
Yes

Practice Information

Address
5003 COLONIAL PARK DR APT D
SOUTH CHARLESTON, WV, 253092049
Browse WV providers · Browse ZIP 25309
Phone
6819457421
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in SOUTH CHARLESTON, WV

Name Credential NPI
RENEA SLACK 1760074736
TERI WHELAN 1104418003
LISA NESTOR 1003409129
SHIRLEY WHITT 1851984892
SYDNEY A KING 1649863689
JORDAN WHITTINGTON 1992399570
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.