Individual
DR. GREGORY LYNN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-5956
(859) 323-1080
Mailing address
800 ROSE STREET N202, LEXINGTON, KY 40536-0001
(859) 323-5956
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25512
KY
208VP0000X
Pain Medicine Physician
44280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64255128
—
KY
Enumeration date
08/20/2006
Last updated
04/26/2013
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