Individual
LOLA FAYE HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
319 8TH ST, SUITE 1, HENDERSON, KY 42420-2963
(270) 827-5657
(270) 827-8833
Mailing address
1305 N ELM ST, HENDERSON, KY 42420-2783
(270) 631-2412
(270) 827-7530
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
3002129
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78001450
—
KY
Enumeration date
05/08/2006
Last updated
11/03/2016
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