Individual
LESLEE A BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
740 S LIMESTONE ST, ROOM J-457, LEXINGTON, KY 40536-0284
(859) 323-7705
Mailing address
740 S LIMESTONE ST, ROOM J-457, LEXINGTON, KY 40536-0284
(859) 323-7705
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3007132
KY
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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