Individual
DR. JOHANNE ELIZABETH DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UK HEALTHCARE, 800 ROSE STREET, HX314A, LEXINGTON, KY 40536-0293
(859) 323-2105
(859) 257-4457
Mailing address
UK HEALTHCARE, 800 ROSE STREET, HX314A, LEXINGTON, KY 40536-0293
(859) 323-2105
(859) 257-4457
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
44811
KY
2085R0202X
Diagnostic Radiology Physician
44811
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2101980
—
MA
01
—
468286
TUFTS HEALTH PLAN
MA
01
—
J28601
BCBS MA
MA
Enumeration date
11/16/2005
Last updated
05/01/2012
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