Individual
LAURA RARDIN-ECTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 HARRODSBURG RD, SUITE B275, LEXINGTON, KY 40504-3751
(859) 278-2334
(859) 278-0159
Mailing address
PO BOX 936, LONDON, KY 40743-0936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100021860
—
KY
Enumeration date
07/11/2007
Last updated
03/30/2020
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