Individual
DR. LAUREN BROOKE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
904 LILY CREEK RD, LOUISVILLE, KY 40243-2816
(502) 409-4299
Mailing address
11802 DUANE POINT CIR APT 103, LOUISVILLE, KY 40243-1767
(703) 586-2282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10275
KY
Other
Enumeration date
05/25/2019
Last updated
05/25/2019
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