Individual
LAWERENCE E PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APSS
Contact information
Practice address
537 BELLWOOD DR, ELIZABETHTOWN, KY 42701-2336
(270) 990-0738
Mailing address
537 BELLWOOD DR, ELIZABETHTOWN, KY 42701-2336
(270) 990-0738
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1181627
KY
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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