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Individual

SHARON LAO WERTHAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1451 HARRODSBURG RD STE D302, LEXINGTON, KY 40504-3772
(859) 260-1273
(859) 260-7719
Mailing address
1451 HARRODSBURG RD STE D302, LEXINGTON, KY 40504-3772
(859) 260-1273
(859) 260-7719

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40928
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1649475492
ORGANIZATIONAL NPI
KY
01
2084N0400X
TAXONOMY
KY
05
7100023560
KY
Enumeration date
04/25/2007
Last updated
02/03/2009
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