Individual
LAUREN FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 AUDUBON PLAZA DR, LOUISVILLE, KY 40217
(502) 634-6767
(502) 634-6775
Mailing address
PO BOX 36218, LOUISVILLE, KY 40233-6218
(502) 634-6767
(502) 634-6775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1175
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100072910
—
KY
Enumeration date
12/02/2008
Last updated
08/14/2018
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