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Individual

MS. LISA M. STROUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2845 CHANCELLOR DR, CRESTVIEW HILLS, KY 41017-3418
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003478
KY
363L00000X
Nurse Practitioner
APRN.CNP.0031165
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000348013
ANTHEM BC & BS
05
2551948
OH
05
7100059500
KY
Enumeration date
01/04/2007
Last updated
08/19/2022
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