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Individual

DR. STEPHANIE LYNN HERDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1721 NICHOLASVILLE RD, LEXINGTON, KY 40503-1428
(859) 252-6500
(859) 514-0145
Mailing address
1721 NICHOLASVILLE RD, LEXINGTON, KY 40503-1428
(859) 252-6500
(859) 514-0145

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
37146
KY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
37146
KY
208VP0014X
Interventional Pain Medicine Physician
37146
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64046717
MT
Enumeration date
09/20/2006
Last updated
04/24/2014
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