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Organization

G. LEWIS SUTHERLAND, D.P.M.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
G. LEWIS SUTHERLAND D.P.M. (OWNER)
(859) 278-7011
Entity
Organization

Contact information

Practice address
2130 NICHOLASVILLE RD, LEXINGTON, KY 40503-2520
(859) 278-7011
(859) 278-2015
Mailing address
2130 NICHOLASVILLE RD, LEXINGTON, KY 40503-2520
(859) 278-7011
(859) 278-2015

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
117
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80001175
KY
Enumeration date
02/05/2008
Last updated
01/26/2010
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