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Individual

DR. TAMIKA BRANDON LASEGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40869
KY
208000000X
Pediatrics Physician
IP871
KY
2080N0001X
Neonatal-Perinatal Medicine Physician
N6449
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100394280
KY
Enumeration date
02/21/2007
Last updated
02/07/2019
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