Individual
LAURA B. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
803 MEYERS BAKER RD, SUITE 200, LONDON, KY 40741-3039
(606) 878-3240
(606) 878-3245
Mailing address
PO BOX 2274, LEXINGTON, KY 40588-2274
(606) 878-3240
(606) 878-3245
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC105
KY
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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