Individual
DR. LISA GAYLE KLEMENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.D.
Contact information
Practice address
9120 HURSTBOURNE LN, LOUISVILLE, KY 40220-1627
(502) 491-3650
(502) 499-2366
Mailing address
9120 HURSTBOURNE LN, LOUISVILLE, KY 40220-1627
(502) 491-3650
(502) 499-2366
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6269
KY
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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