Individual
MS. LENNEA ELIZABETH COOMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4955 NORTON HEALTHCARE BLVD, LOUISVILLE, KY 40241-2832
(502) 394-2832
(502) 394-6351
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA744
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100286430
—
KY
Enumeration date
10/05/2006
Last updated
04/23/2024
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