Individual
LAURA JOAN MARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
1389 W MAIN ST, LEXINGTON, KY 40508-2047
(859) 880-3737
Mailing address
1701 WOODLARK AVE, LEXINGTON, KY 40505-1421
(573) 462-0261
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
282014
KY
224P00000X
Prosthetist
282014
KY
Other
Enumeration date
03/02/2020
Last updated
06/02/2025
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