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Individual

SUSAN LORCH SWINT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4120 WOODED ACRE LN, LOUISVILLE, KY 40245-2938
(502) 963-1905
Mailing address
PO BOX 22306, LOUISVILLE, KY 40252-0306

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
43005
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000991967
ANTHEM
KY
01
50103349
PASSPORT HEALTH PLAN
KY
05
7100100280
KY
01
P01594512
RAILROAD MEDICARE
KY
Enumeration date
03/05/2007
Last updated
12/07/2021
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