# CENTER FOR VEIN RESTORATION KY, LLC

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

## Provider details

- **NPI number:** 1932658622
- **Authorized official:** SANJIV LAKHANPAL MD (PRESIDENT)
- **Authorized official phone:** (855) 830-8346

## Contact information

- **Practice address:** 2054 E PARRISH AVE STE A, OWENSBORO, KY 42303-1448
- **Practice address phone:** (855) 830-8346
- **Practice address fax:** (855) 830-8346
- **Mailing address:** 7474 GREENWAY CENTER DR, SUITE 1000, GREENBELT, MD 20770-3504
- **Mailing address phone:** (240) 965-3258
- **Mailing address fax:** (240) 473-4323

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 09/23/2016
- **Last updated:** 04/30/2024