Individual
LAKEN HEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3288 ILLINOIS AVE, LOUISVILLE, KY 40213-1014
(502) 515-5672
Mailing address
3288 ILLINOIS AVE, LOUISVILLE, KY 40213-1014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4009488
KY
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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