Individual
DR. JOANNA L SANTIESTEBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 N EAGLE CREEK DR STE 400, LEXINGTON, KY 40509-2124
(859) 258-5220
(859) 258-5405
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
39452
KY
207V00000X
Obstetrics & Gynecology Physician
39452
KY
207VG0400X
Gynecology Physician
Primary
39452
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64101942
—
KY
Enumeration date
09/01/2005
Last updated
10/08/2024
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