Individual
LAURA M GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
483 S LOOP RD, EDGEWOOD, KY 41017-5446
(859) 301-4600
(859) 301-4601
Mailing address
483 S LOOP RD, EDGEWOOD, KY 41017-5446
(859) 301-4600
(859) 301-4601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2778P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000335133
ANTHEM
KY
05
—
78009214
—
KY
Enumeration date
07/19/2005
Last updated
06/06/2013
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