Individual
AUDRA LEE STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ROSE ST FL 2, LEXINGTON, KY 40536-7001
(859) 562-1085
(859) 257-5152
Mailing address
800 ROSE ST RM MN-118, LEXINGTON, KY 40536-0293
(859) 323-5157
(859) 323-1315
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
55392
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
06/06/2024
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