Individual
DR. LISA LEIGH PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, D.C.
Contact information
Practice address
405 N LEXINGTON AVE, WILMORE, KY 40390-1195
(859) 858-0200
Mailing address
405 N LEXINGTON AVE, WILMORE, KY 40390-1195
(859) 858-0200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5218
KY
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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