Individual
G LEWIS SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2387 PROFESSIOINAL HEIGHTS DR, LEXINGTON, KY 40503-3038
(859) 278-7011
(859) 278-2015
Mailing address
2387 PROFESSIONAL HEIGHTS DR, SUITE 130, LEXINGTON, KY 40503-3038
(859) 278-7011
(859) 278-2015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
117
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80001175
—
KY
Enumeration date
09/12/2005
Last updated
03/25/2011
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