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Organization

UK LPP GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG COLLINS (SR VP HEALTH AFFAIRS / CFO)
(859) 257-1773
Entity
Organization

Contact information

Practice address
245 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 323-6021
Mailing address
2333 ALUMNI PARK PLZ, LEXINGTON, KY 40517-4012
(859) 257-7910

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
02/06/2015
Last updated
02/14/2024
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