Individual
LISA L WHITLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
2341 LIME KILN LN, LOUISVILLE, KY 40222-3460
(502) 899-9979
(502) 899-9939
Mailing address
2341 LIME KILN LN, LOUISVILLE, KY 40222-3460
(502) 899-9979
(502) 899-9939
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA069
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000546306
ANTHEM
KY
Enumeration date
01/17/2008
Last updated
01/17/2008
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