Individual
DR. LUCIEN FRANKLIN MCBRAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2724 DREYFUS RD, WACO, KY 40385-9518
(859) 985-5628
Mailing address
2724 DREYFUS RD, WACO, KY 40385-9518
(859) 985-5628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19059
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-1382579
TAX ID #
—
01
—
64190598
ADDITIONAL MEDICAID #
KY
05
—
65934051
—
KY
Enumeration date
09/19/2006
Last updated
08/14/2013
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