Individual
LISA BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
455 S 4TH ST, SUITE 950-C, LOUISVILLE, KY 40202-2593
(502) 587-6131
(502) 584-8600
Mailing address
455 S 4TH ST, SUITE 950-C, LOUISVILLE, KY 40202-2593
(502) 587-6131
(502) 584-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6382
KY
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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