Individual
LISA DENISE MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1674 STATE ROUTE 176, GREENVILLE, KY 42345-4122
(270) 476-3374
(270) 476-4324
Mailing address
1674 STATE ROUTE 176, GREENVILLE, KY 42345-4122
(270) 476-3374
(270) 476-4324
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004369
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000346150
ANTHEM
KY
05
—
78013646
—
KY
Enumeration date
10/02/2006
Last updated
02/03/2020
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