Individual
MRS. LAUREN AUDREY PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-2878
(859) 257-1000
(859) 257-3347
Mailing address
230 LEXINGTON GREEN CIR, STE 600, LEXINGTON, KY 40503-3326
(185) 920-0273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1154191
KY
363A00000X
Physician Assistant
Primary
PA2422
KY
363AM0700X
Medical Physician Assistant
PA2422
KY
363AS0400X
Surgical Physician Assistant
PA2422
KY
Other
Enumeration date
08/07/2018
Last updated
07/28/2022
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