Individual
DR. LISA M VUOCOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(502) 287-5995
Mailing address
228 S HITE AVE, LOUISVILLE, KY 40206-2517
(502) 894-2897
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30469
KY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
30469
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000999791
ANTHEM
KY
01
—
131068
SIHO
KY
01
—
50103304
PASSPORT
KY
05
—
64304694
—
KY
Enumeration date
08/25/2006
Last updated
06/23/2016
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