Individual
JACQUELINE MICHELLE SUGARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5481
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27970
KY
2080C0008X
Child Abuse Pediatrics Physician
27970
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64279706
—
KY
Enumeration date
07/12/2006
Last updated
10/06/2015
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