Individual
ADA IRIS SANCHEZ JUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2250 LEESTOWN RD, LEXINGTON, KY 40511
(859) 233-4511
Mailing address
7819 LARIAT RD, LOUISVILLE, KY 40219-2980
(502) 379-7150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2113DT
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2018
Last updated
10/23/2020
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