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Individual

LORETTA P BELHASEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
838 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 789-8749
(606) 789-2060
Mailing address
838 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 789-8749
(606) 789-2060

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA363
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000196828
ANTHEM BLUE CROSS & BLUE
KY
Enumeration date
05/17/2006
Last updated
04/25/2013
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