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Individual

MS. LISA CONTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1025 NEW MOODY LN, LAGRANGE, KY 40031-9154
(502) 222-3886
(502) 222-8647
Mailing address
5927 CENTERWOOD DR, CRESTWOOD, KY 40014-9196
(502) 241-3934
(502) 222-8647

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25877
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000194123
KY ANTHEM #--GLAS
KY
05
1143378
KY
05
64258775
KY
Enumeration date
10/12/2006
Last updated
07/09/2007
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