Individual
LAURIE GREER MASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
250 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 263-4444
(859) 254-1814
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34944
KY
207NS0135X
Procedural Dermatology Physician
34944
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044790
ANTHEM
—
01
—
0300105
UNITED HEALTHCARE
—
05
—
64349442
—
KY
01
—
C03026
CUMBERLAND HEALTHCARE
—
Enumeration date
05/31/2005
Last updated
10/05/2023
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