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Individual

MARY CLARE GUIGLIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
250 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 263-4444
(859) 254-1814
Mailing address
250 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 263-4444
(859) 254-1814

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24001
KY
207NS0135X
Procedural Dermatology Physician
24001
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000236068
ANTHEM
01
0300065
UNITED HEALTHCARE
KY
05
64240013
KY
01
C03008
CUMBERLAND HEALTH
Enumeration date
05/31/2005
Last updated
12/17/2013
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