Individual
LENICE ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
1728 SAN JOSE AVE, LOUISVILLE, KY 40216-2768
(502) 310-2223
Mailing address
1728 SAN JOSE AVE, LOUISVILLE, KY 40216-2768
(502) 310-2223
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
W2Y2P9L5
KY
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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