Individual
JILL LASCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-C
Contact information
Practice address
914 E BROADWAY STE 200, LOUISVILLE, KY 40204-1037
(502) 410-5788
Mailing address
914 E BROADWAY STE 200, LOUISVILLE, KY 40204-1037
(502) 410-5788
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009718
KY
Other
Enumeration date
09/09/2015
Last updated
12/16/2021
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