Individual
LISA MICHELLE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 RICHMOND RD, LEXINGTON, KY 40509-1599
(859) 268-9866
Mailing address
1853 BRYAN STATION RD, LEXINGTON, KY 40505-2259
(859) 806-8122
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012816
KY
363LF0000X
Family Nurse Practitioner
Primary
3012816
KY
Other
Enumeration date
02/14/2020
Last updated
03/01/2023
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