Individual
MRS. LAURA DENISE WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
151 N EAGLE CREEK DR STE 400, LEXINGTON, KY 40509-1894
(859) 264-8866
(859) 264-1167
Mailing address
151 N EAGLE CREEK DR STE 400, LEXINGTON, KY 40509-1894
(859) 264-8866
(859) 264-1167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KY-R2571
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000600602
BCBS FOR LHT
KY
Enumeration date
02/26/2007
Last updated
10/14/2011
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