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Blue Lot MD Pllc

Internal Medicine Physician in Charleston, WV · enumerated 2022 · authorized official Letitia Tierney, Sole Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104559160

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Registry record

Entity type Organization (Type 2)
Legal business name Blue Lot MD Pllc
Other name <Unavail>
Parent organization Blue Lot MD Pllc
Practice address 10 Courtney Dr, Charleston, WV, 25304
Fax (304) 400-4645
Enumeration date Jul 7, 2022
Last updated in NPPES Aug 4, 2022

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Letitia Tierney
Title Sole Member

Other identifiers

Identifier Type State Issuer
3810017636 Medicaid WV -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Blue Lot MD Pllc?
Blue Lot MD Pllc is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-04.