Individual
LAUREN RENAE WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 WINGATE AVE, GLASGOW, KY 42141-2257
(270) 576-6475
Mailing address
169 REGENCY POINT PATH, LEXINGTON, KY 40503-2356
(270) 576-6475
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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