Individual
LIANE M DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1250 BARDSTOWN RD STE 8, LOUISVILLE, KY 40204-1333
(502) 456-7047
(502) 457-1491
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007493
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100218750
—
KY
Enumeration date
09/14/2012
Last updated
04/24/2024
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