Individual
MISS BRANDY JEAN LASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C APRN
Contact information
Practice address
2135 HIGHWAY 30 BYP, STE 1, LONDON, KY 40741-6139
(606) 864-2179
(606) 864-7484
Mailing address
PO BOX 73652, CLEVELAND, OH 44193-0002
(859) 313-2758
(859) 276-5939
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007929
KY
Other
Enumeration date
02/28/2013
Last updated
07/29/2013
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