Individual
DR. LISA ROCHELLE TANNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5981
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
38487
KY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
38487
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64075302
—
KY
Enumeration date
07/28/2006
Last updated
12/13/2011
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