Individual
DR. TANA LYNN REPELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
740 S LIMESTONE STE L104, LEXINGTON, KY 40536-3011
(859) 257-3253
(859) 257-7603
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
55260
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2013
Last updated
08/31/2021
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