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Organization

COMMONWEALTH UROLOGY, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARYAGNES LITTLE (OFFICE MANAGER)
(859) 277-5766
Entity
Organization

Contact information

Practice address
160 N EAGLE CREEK DR, SUITE 301, LEXINGTON, KY 40509-2121
(859) 737-4411
Mailing address
1760 NICHOLASVILLE RD, SUITE 301, LEXINGTON, KY 40503-1471
(859) 277-5766
(859) 277-3406

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/01/2006
Last updated
08/22/2020
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