Individual
LAUREN MILLER MASTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 E CHESTNUT ST UNIT 510, LOUISVILLE, KY 40202
(502) 588-4800
(502) 588-4801
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201260240
—
IN
05
—
7100273300
—
KY
Enumeration date
01/02/2014
Last updated
02/17/2020
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