Individual
DR. WILSON LOBE ESEME JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4814 PRESTON HWY, LOUISVILLE, KY 40213-2235
(502) 890-5037
Mailing address
8025 SHADOWCREEK RD, CRESTWOOD, KY 40014-8934
(502) 890-5037
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
43203
KY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
43203
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528136
—
TN
Enumeration date
02/17/2009
Last updated
12/03/2019
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