Individual
DR. SANDRA BOUZAGLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 DARBY CREEK RD, SUITE 59, LEXINGTON, KY 40509-1604
(859) 263-8083
(859) 263-9160
Mailing address
501 DARBY CREEK RD, SUITE 59, LEXINGTON, KY 40509-1604
(859) 263-8083
(859) 263-9160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25984
KY
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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