Individual
LISA ELLEN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
613 23RD ST STE 230, ASHLAND, KY 41101-2868
(606) 324-4745
(606) 324-4941
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3009949
KY
Other
Enumeration date
01/05/2016
Last updated
10/19/2017
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