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Organization
WILLOW TREE PEDIATRICS OF LEXINGTON
Active
Organization
WILLOW TREE PEDIATRICS OF LEXINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI DENISON APRN (OWNER)
(859) 286-9046
Entity
Organization
Contact information
Practice address
2036 REGENCY RD STE 2, LEXINGTON, KY 40503-2309
(859) 286-9046
(859) 276-3726
Mailing address
2036 REGENCY RD STE 2, LEXINGTON, KY 40503-2309
(859) 286-9046
(859) 276-3726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100622640
—
KY
Enumeration date
06/09/2020
Last updated
03/07/2023
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