Individual
MARIA P. MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3581 HARRODSBURG RD STE 250, LEXINGTON, KY 40513-1140
(859) 313-6300
(594) 698-1858
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34008
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64014509
—
KY
Enumeration date
08/23/2006
Last updated
06/30/2019
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