Individual
MRS. PAIGE LYNNE HOOGERHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, SA-C
Contact information
Practice address
838 E HIGH ST, #288, LEXINGTON, KY 40502-2107
(859) 396-8647
(859) 269-8376
Mailing address
114 DESHA RD, LEXINGTON, KY 40502-1802
(859) 269-8376
(859) 269-8376
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA137
KY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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