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Organization

WOMENS GASTROENTEROLOGY CONSULTANTS, PSC

Active
Other names
gastroenterology care center
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE HAAS MD (PRESIDENT)
(859) 263-0022
Entity
Organization

Contact information

Practice address
160 N EAGLE CREEK DR, SUITE 202, LEXINGTON, KY 40509-2121
(859) 263-0022
(859) 263-4666
Mailing address
160 N EAGLE CREEK DR, SUITE 202, LEXINGTON, KY 40509-2121
(859) 263-0022
(859) 263-4666

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
65935272
KY
05
9590117900
KY
Enumeration date
10/03/2006
Last updated
07/03/2008
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