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Individual

MARIE PRESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
508 W 2ND ST, LEXINGTON, KY 40508-1204
(859) 252-8494
(858) 252-5884
Mailing address
508 W 2ND ST, LEXINGTON, KY 40508-1204
(859) 252-8494
(858) 252-5884

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2400P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000477847
ANTHEM PIN
KY
Enumeration date
05/22/2007
Last updated
07/08/2007
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