Individual
LEE J AMBURGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3701 LANSDOWNE DRIVE, ASHLAND, KY 41102
(606) 324-3005
(660) 632-9153
Mailing address
PO BOX 790, ASHLAND, KY 41105-0790
(606) 329-8588
(606) 329-8195
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0036
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359706
ANTHEM BCBS
—
05
—
30610026
—
KY
Enumeration date
08/15/2006
Last updated
11/06/2014
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