Individual
DR. BJORN LEA HOLESTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 423-4500
(646) 770-8409
Mailing address
2421 LADY BEDFORD PL, LEXINGTON, KY 40509-9022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54256
KY
Other
Enumeration date
03/29/2017
Last updated
10/20/2020
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