Individual
LAURA FITZGIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1423
(502) 589-8600
(502) 589-8771
Mailing address
PO BOX 690, 130 VINE STREET, SHEPHERDSVILLE, KY 40165-0690
(502) 589-1100
(502) 589-8771
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1183
KY
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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