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Individual

MR. GERALD ALLAN LEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6907 BURLINGTON PIKE, FLORENCE, KY 41042
(859) 525-1846
(859) 647-3355
Mailing address
6907 BURLINGTON PIKE, FLORENCE, KY 41042
(859) 525-1846
(859) 647-3355

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21313
KY
207V00000X
Obstetrics & Gynecology Physician
35048903
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0068362
OH
05
64213135
KY
Enumeration date
07/25/2006
Last updated
12/10/2012
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