Individual
MARIAN LANCASTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
914 E BROADWAY, STE. 216, LOUISVILLE, KY 40204-1037
(502) 584-0044
Mailing address
900 AUDUBON PKWY, LOUISVILLE, KY 40213-1369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
KY-0055
KY
Other
Enumeration date
06/25/2006
Last updated
07/08/2007
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