Individual
MRS. ELIZABETH U MAESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10210 WESTPORT RD, LOUISVILLE, KY 40241-2148
(502) 339-0444
(502) 339-1717
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24095
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64240955
—
KY
01
—
K117900
MEDICARE PTAN -NCMA
KY
Enumeration date
10/03/2006
Last updated
02/16/2015
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