Individual
DR. LYNN LAZARRE OGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3703 TEN BROECK WAY, LOUISVILLE, KY 40241-2499
(502) 425-6403
Mailing address
3703 TEN BROECK WAY, LOUISVILLE, KY 40241-2499
(502) 425-6403
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14617
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14617
14617,KY LICENSE
KY
Enumeration date
09/01/2011
Last updated
09/01/2011
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