Individual
LISA LEE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2725
(606) 256-4148
(606) 256-2753
Mailing address
140 NEWCOMB AVE, MOUNT VERNON, KY 40456-2725
(606) 256-4148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4027305
KY
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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