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Individual

DR. DAVID LAWRENCE HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1850 BLUEGRASS AVE, ANESTHESIA DEPARTMENT, LOUISVILLE, KY 40215-1161
(502) 361-6617
(502) 361-6637
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45207
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201108980A
IN
05
7100211890
KY
Enumeration date
08/17/2010
Last updated
08/01/2019
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