Individual
DR. PAUL L LANKISCH JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 344-2160
Mailing address
4685 FOREST AVE, STE C, CINCINNATI, OH 45212-3359
(859) 331-2212
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA177
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9500199600
—
KY
Enumeration date
11/16/2005
Last updated
03/06/2017
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