Individual
MRS. LISA DIANE DUERLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
324 N ASHLAND AVE, LEXINGTON, KY 40502-1402
(859) 797-5513
Mailing address
4269 DESDEMONA WAY, LEXINGTON, KY 40514-1344
(859) 296-9588
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003344
KY
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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