Organization
GRACEWAY DIRECT PRIMARY CARE, PLLC
Active
Other names
GraceWay Direct
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI WILLIAMS APRN (OWNER)
(502) 709-0590
Entity
Organization
Contact information
Practice address
5807 HASBROOK DR, LOUISVILLE, KY 40229-2984
(502) 709-0590
Mailing address
5807 HASBROOK DR, LOUISVILLE, KY 40229-2984
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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