Individual
MS. NAN LEWIS PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1911 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-7758
(270) 932-2221
(270) 932-2201
Mailing address
1911 CAMPBELLSVILLE RD, GREENSBURG, KY 42743-7758
(270) 932-2221
(270) 932-2201
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA712
KY
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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