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Individual

MRS. LAUREN VIRGINIA JACKSON-BELCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
800 ROSE ST, MS 477, LEXINGTON, KY 40536-0001
(859) 323-5530
Mailing address
800 ROSE ST, MS 477, LEXINGTON, KY 40536-0001
(859) 323-5530

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA938
KY
363AM0700X
Medical Physician Assistant
PA 938
KY
363AS0400X
Surgical Physician Assistant
PA938
KY

Other

Enumeration date
05/22/2006
Last updated
07/13/2020
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