Individual
LAUREN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9798 S HIGHWAY 259, MC DANIELS, KY 40152-7227
(270) 902-4411
Mailing address
9798 S HIGHWAY 259, MC DANIELS, KY 40152-7227
(270) 902-4411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010354
KY
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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