Individual
LANA R NEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
195 COMBS LN, SOMERSET, KY 42503-4913
(606) 219-6758
Mailing address
195 COMBS LN, SOMERSET, KY 42503-4913
(606) 219-6758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3014065
KY
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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