Individual
DESTINY LACE BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1907 E PITTSBURG CHURCH RD, LONDON, KY 40741-9047
(606) 389-5269
Mailing address
1907 E PITTSBURG CHURCH RD, LONDON, KY 40741-9047
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4053035
KY
Other
Enumeration date
02/13/2026
Last updated
04/26/2026
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