Individual
LAUREN FADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 E BROADWAY STE 195, LOUISVILLE, KY 40202-3700
(502) 629-4263
(502) 629-4282
Mailing address
550 S JACKSON ST, 1ST FLOOR, ACB, LOUISVILLE, KY 40202-1622
(502) 852-6902
(502) 852-7227
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
55550
KY
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
55550
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2015
Last updated
08/23/2021
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