Individual
LISA DAWN BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPP
Contact information
Practice address
161 PROSPEROUS PL, LEXINGTON, KY 40509-1898
(859) 368-0609
(859) 368-9767
Mailing address
161 PROSPEROUS PL, LEXINGTON, KY 40509-1898
(859) 368-0609
(859) 368-9767
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0905
KY
103TC0700X
Clinical Psychologist
Primary
175264
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000689151
ANTHEM BCBS
—
05
—
30610026
—
KY
Enumeration date
07/08/2008
Last updated
03/17/2018
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