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Individual

MS. LISA J BUFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1532 LONE OAK RD, SUITE 150, PADUCAH, KY 42003-7913
(270) 538-6700
(270) 538-6755
Mailing address
PO BOX 636961, CINCINNATI, OH 45263-6961
(513) 981-5130
(513) 981-5015

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA354
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95005518
KY
Enumeration date
07/14/2006
Last updated
11/07/2024
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