Individual
LAURA MALOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 CASSIDY BLVD, PIKEVILLE, KY 41501-1426
(606) 432-0238
Mailing address
254 CASSIDY BLVD, PIKEVILLE, KY 41501-1426
(606) 432-0238
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110714
KY
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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