Individual
SAMANTHA JO LYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 NEW GLENDALE RD, ELIZABETHTOWN, KY 42701-1023
(270) 737-5921
Mailing address
108 NEW GLENDALE ROAD, PO BOX 2609, ELIZABETHTOWN, KY 42701
(270) 737-5921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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