Individual
LILLY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1511
(502) 852-0710
Mailing address
10501 FISCHER PARK DR, LOUISVILLE, KY 40241-4139
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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