Individual
CECILIA FOTABI DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1916 JUSTICE DR STE 120, LEXINGTON, KY 40509-2609
(859) 756-6837
Mailing address
2093 SHAKER RUN RD, LEXINGTON, KY 40509-8470
(859) 583-3002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11210414
KY
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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