Individual
LETITIA A. CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3085 LAKECREST CIR, LEXINGTON, KY 40513-1707
(859) 258-4800
(859) 258-8610
Mailing address
3085 LAKECREST CIR, LEXINGTON, KY 40513-1707
(859) 258-8600
(859) 258-8610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA522
KY
363AM0700X
Medical Physician Assistant
PA522
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95001699
—
KY
Enumeration date
10/04/2006
Last updated
03/02/2021
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