Individual
LISA A DUCOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 651-1111
(270) 659-5853
Mailing address
310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141-1300
(270) 651-1111
(270) 659-5853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007576
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100218520
—
KY
Enumeration date
08/15/2012
Last updated
03/01/2023
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