Individual
LAURA HATTOX COSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNIVERSITY OF KENTUCKY AND AFFILIATES, 800 ROSE ST, LEXINGTON, KY 40536-0001
(512) 415-4461
Mailing address
800 ROSE ST, EMERGENCY MEDICINE RM M-53, LEXINGTON, KY 40536-0298
(859) 323-5908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R2219
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2009
Last updated
07/21/2011
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