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Individual
LISA M VAUGHT
Active
Individual
LISA M VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005254
KY
363LP2300X
Primary Care Nurse Practitioner
3005254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3005254P
KENTUCKY LICENSURE BOARD
KY
05
—
7100012620
—
KY
Enumeration date
06/09/2007
Last updated
05/14/2019
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