Individual
DR. LUIS MARIO SAMAYOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST., LEXINGTON, KY 40536-0001
(859) 323-5425
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 257-1446
(859) 257-7572
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
33752
KY
207ZP0101X
Anatomic Pathology Physician
Primary
33752
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64020118
—
KY
Enumeration date
04/19/2006
Last updated
01/04/2022
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