Individual
ALLISON FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 W LOWRY LN STE 132, LEXINGTON, KY 40503-3006
(859) 334-0484
Mailing address
909 LILY DR, LEXINGTON, KY 40504-3204
(859) 334-0484
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4046000
KY
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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