Individual
MR. LUIS J FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5207 SAINT GABRIEL CT, LOUISVILLE, KY 40291-1622
(502) 550-0235
Mailing address
5207 SAINT GABRIEL CT, LOUISVILLE, KY 40291-1622
(502) 550-0235
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
F06-508-181
KY
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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