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Individual

LANDI MARIE CRANSTOUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
103 ALYCIA DR STE 2, RICHMOND, KY 40475-2368
(606) 330-7818
(606) 330-7825
Mailing address
496 SOUTHLAND DR, LEXINGTON, KY 40503-1827
(859) 288-2392
(859) 721-3918

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2014-02032
NC
207Q00000X
Family Medicine Physician
Primary
47874
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100364840
KY
Enumeration date
06/27/2008
Last updated
02/25/2021
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