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Individual

LEAH C LORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
3221 FREDERICA ST, STE B, OWENSBORO, KY 42301-6086
(270) 926-2212
(270) 926-2215
Mailing address
3221 FREDERICA ST, STE B, OWENSBORO, KY 42301-6086
(270) 926-2212
(270) 926-2215

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001095
KY
225100000X
Physical Therapist
3772
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0782M
BCBS PIN
Enumeration date
06/18/2007
Last updated
09/19/2016
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