# ANN E ROBERTS MD PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760414197
- **Authorized official:** ANN E ROBERTS MD (OWNER PRES)
- **Authorized official phone:** (502) 222-3312

## Contact information

- **Practice address:** 1031 NEW MOODY LANE, STE 200, LAGRANGE, KY 40031
- **Practice address phone:** (502) 222-3312
- **Practice address fax:** (502) 222-2217
- **Mailing address:** 1031 NEW MOODY LANE, STE 200, LAGRANGE, KY 40031
- **Mailing address phone:** (502) 222-3312
- **Mailing address fax:** (502) 222-2217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 08/22/2020