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Individual

DANIEL W LARROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
UNIV OF KY PEDIATRICS KENTUCKY CLINIC, J445 740 SOUTH LIMESTONE STREET, LEXINGTON, KY 40536-0001
(859) 323-2089
(859) 257-9853
Mailing address
UNIV OF KY PEDIATRICS KENTUCKY CLINIC, J445 740 SOUTH LIMESTONE STREET, LEXINGTON, KY 40536-0001
(859) 323-2089
(859) 257-9853

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
46496
KY
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
46496
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2557
BLUE CROSS BLUE SHIELD
VT
05
2557
VT
Enumeration date
03/01/2007
Last updated
09/14/2018
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