Individual
LAUREN CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
UK SURGERY CLINIC - GENERAL, 740 S LIMESTONE STE L104, LEXINGTON, KY 40536
(859) 257-3253
(859) 257-7603
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010169
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100401170
—
KY
Enumeration date
04/22/2016
Last updated
01/13/2021
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