Individual
DR. LISA L DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
207A ALPINE DR, SHELBYVILLE, KY 40065-8881
(502) 633-3900
(502) 633-3999
Mailing address
207A ALPINE DR, SHELBYVILLE, KY 40065-8881
(502) 633-3900
(502) 633-3999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7755
KY
Other
Enumeration date
08/11/2006
Last updated
04/17/2012
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