Individual
DR. LIDIA IRENA LAMOT-WASIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8726 US HWY 42, FLORENCE, KY 41042-9642
(859) 647-2900
(859) 647-0140
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 647-2900
(859) 647-0140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01043484
IN
207Q00000X
Family Medicine Physician
Primary
46203
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000520153
ANTHEM PROVIDER NUMBER
IN
05
—
100325830
—
IN
05
—
7100267190
—
KY
01
—
P01305566
RR MEDICARE
KY
Enumeration date
03/07/2007
Last updated
09/13/2018
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