Individual
LONNIE RHEA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1277 SPRINGDALE DR, LOUISVILLE, KY 40213-1736
(859) 361-7467
Mailing address
1277 SPRINGDALE DR, LOUISVILLE, KY 40213-1736
(859) 361-7467
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
48849
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2010
Last updated
10/13/2016
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