Individual
ELIZABETH BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 LOWE RD, LOUISVILLE, KY 40220-1552
(502) 459-2020
(502) 456-9121
Mailing address
4720 LOWE RD, LOUISVILLE, KY 40220-1552
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
KY-0355
KY
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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