Individual
BROOKE ISABELLA DIPASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 ROSE ST FL 1, LEXINGTON, KY 40536-7001
(859) 562-1085
(859) 257-5152
Mailing address
3346 BRADFORD RD, CLEVELAND HEIGHTS, OH 44118-4230
(440) 591-4688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3523
KY
363AM0700X
Medical Physician Assistant
PA3523
KY
363AS0400X
Surgical Physician Assistant
PA3523
KY
Other
Enumeration date
07/03/2024
Last updated
03/21/2025
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