Individual
ANGELO ANTONIO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536
(859) 323-5901
(859) 323-3040
Mailing address
800 ROSE ST RM M-53, LEXINGTON, KY 40536-0293
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54848
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
06/11/2021
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