Individual
ALEXANDRIA LAUREN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-2425
(859) 323-5901
(859) 323-3040
Mailing address
793 EASTERN BYP STE 101, RICHMOND, KY 40475-2425
(859) 626-8645
(859) 626-8661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2441
KY
363AM0700X
Medical Physician Assistant
PA2441
KY
363AS0400X
Surgical Physician Assistant
PA2441
KY
Other
Enumeration date
07/23/2018
Last updated
04/03/2025
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