Individual
LAUREN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1030 MONARCH ST STE 100, LEXINGTON, KY 40513-1820
(859) 296-3141
Mailing address
1030 MONARCH ST STE 100, LEXINGTON, KY 40513-1820
(859) 296-3141
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1130484
KY
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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