Individual
LISA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 475-8393
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1275
(859) 475-8393
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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