Individual
MS. LISA J FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
6413 BARDSTOWN RD, LOUISVILLE, KY 40291
(502) 638-4906
(502) 231-0220
Mailing address
6413 BARDSTOWN RD, LOUISVILLE, KY 40291
(502) 638-4906
(502) 231-0220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007846
KY
Other
Enumeration date
11/05/2012
Last updated
06/04/2015
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