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Individual

RIA E EUGENIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1055 DOVE RUN RD, LEXINGTON, KY 40502-3536
(859) 269-4668
(859) 266-5577
Mailing address
1055 DOVE RUN RD, SUITE 200, LEXINGTON, KY 40502
(859) 269-4668
(859) 266-5577

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39336
KY
207R00000X
Internal Medicine Physician
39336
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64100084
KY
Enumeration date
04/18/2006
Last updated
03/09/2015
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