Individual
LETITIA ROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 LEXINGTON RD, GEORGETOWN, KY 40324-9330
(502) 868-1100
Mailing address
PO BOX 5804, PARIS, KY 40362-5804
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA200027
KY
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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