Individual
RICHARD H. MORTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2201 REGENCY ROAD, BLDG. 100, LEXINGTON, KY 40503
(859) 278-1316
Mailing address
280 PASADENA DRIVE, LEXINGTON, KY 40503
(859) 278-1316
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
14904
KY
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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