Individual
SUSAN RENEE LYKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAC,PAC
Contact information
Practice address
265 FONTAINE CIR # B, LEXINGTON, KY 40502-1948
(859) 619-1515
(859) 268-0308
Mailing address
265 FONTAINE CIR # B, LEXINGTON, KY 40502-1948
(859) 619-1515
(859) 268-0308
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
PA101
KY
363AS0400X
Surgical Physician Assistant
Primary
PA101
KY
Other
Enumeration date
12/04/2006
Last updated
01/28/2008
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