Individual
DR. VICKY ANN LEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1116 S MAIN ST, SUITE 1, MORGANTOWN, KY 42261-9409
(270) 526-6206
(270) 526-6296
Mailing address
1116 S MAIN ST STE 1, MORGANTOWN, KY 42261-9409
(270) 526-6206
(270) 526-6296
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5259
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100148660
—
KY
Enumeration date
10/02/2009
Last updated
11/26/2019
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