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Individual

DR. LARA MARIEL OSETINSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1720 NICHOLASVILLE RD STE 500, LEXINGTON, KY 40503
(859) 278-1114
(859) 277-0541
Mailing address
1720 NICHOLASVILLE RD STE 500, LEXINGTON, KY 40503-1487
(859) 278-1114
(859) 277-0541

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1609283936
MN
207Y00000X
Otolaryngology Physician
Primary
52806
KY
207Y00000X
Otolaryngology Physician
59516
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/18/2014
Last updated
09/17/2019
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