Individual
MITCHELL LLOYD WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
279 N. HUBBARDS LANE, LOUISVILLE, KY 40207
(502) 618-8058
Mailing address
279 N. HUBBARDS LANE, LOUISVILLE, KY 40207
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1150317
KY
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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