Individual
LESLIE WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2343 ALEXANDRIA DR STE 120, LEXINGTON, KY 40504-3216
(859) 268-9090
Mailing address
2800 CLAYS MILL RD, LEXINGTON, KY 40503-2703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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