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Individual

CARL LEWIS BACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
UK HEALTHCARE 740 S LIMESTONE SUITE A301, LEXINGTON, KY 40536-2991
(859) 323-6494
(859) 257-4682
Mailing address
3333 BURNET AVE, MLC 2004, CINCINNATI, OH 45229-3026
(513) 636-4770
(513) 636-3847

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036064156
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
35.139651
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
53982
KY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
TP117
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036064156
IL
05
05825879
MS
01
1627123
BCBS PROVIDER ID
IL
01
363283051
OWCP PROVIDER ID
IL
05
6435508
KY
Enumeration date
09/16/2005
Last updated
08/31/2020
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