Individual
DR. LEA H. BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
147 W WOODFORD ST, LAWRENCEBURG, KY 40342-1100
(502) 839-0121
(502) 839-1454
Mailing address
3018 FREESTONE WAY, LAWRENCEBURG, KY 40342-9152
(502) 598-1892
(502) 839-1454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7146
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611376101
TAX ID
KY
Enumeration date
12/21/2005
Last updated
04/24/2012
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