Individual
LISA MARIE BUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 KOEHLER DR, LEBANON, KY 40033-9388
(270) 402-8259
Mailing address
305 KOEHLER DR, LEBANON, KY 40033-9388
(270) 402-8259
(270) 440-5398
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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