Individual
DR. LEE SIDNEY MAYER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 S. PRESTON ST., LOUISVILLE, KY 40292-0001
(502) 852-1209
(502) 852-1317
Mailing address
501 SOUTH PRESTON ST., LOUISVILLE, KY 40292-0001
(502) 852-1209
(502) 852-1317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5017
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005017600
—
KY
Enumeration date
10/19/2005
Last updated
07/09/2007
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