Individual
REBECCA JO MANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CONN TERRACE, SUITE 550, LEXINGTON, KY 40508
(859) 323-3045
(859) 257-2121
Mailing address
110 CONN TERRACE, LEXINGTON, KY 40508
(859) 323-3045
(859) 257-2121
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
288010
KY
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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