Individual
LISA M VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1325 TRIPLETT STREET, OWENSBORO, KY 42303-3163
(270) 686-8500
(270) 685-5467
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 686-8500
(270) 685-5467
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3005254
KY
363LP2300X
Primary Care Nurse Practitioner
3005254
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3005254P
KENTUCKY LICENSURE BOARD
KY
05
—
7100012620
—
KY
Enumeration date
06/09/2007
Last updated
05/14/2019
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