Individual
JACKSON LAUREANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE STREET MN 150, LEXINGTON, KY 40506-0001
(859) 323-6161
Mailing address
800 ROSE STREET MN 150, LEXINGTON, KY 40506-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
IP1871
KY
Other
Enumeration date
03/16/2022
Last updated
09/29/2024
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