Individual
LACEY GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
2400 EASTPOINT PKWY STE 550, LOUISVILLE, KY 40223-4154
(502) 253-6630
(502) 253-6639
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(866) 273-5392
(502) 489-5750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49865
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100383600
—
KY
Enumeration date
05/07/2014
Last updated
12/03/2020
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