Individual
LISA R LYKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
106 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(270) 769-0058
(270) 737-1659
Mailing address
77 WHITAKER RD, LEITCHFIELD, KY 42754-7131
(270) 769-0058
(270) 737-1659
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A0771
KY
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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