Individual
MISS LILLIAN ROSE CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S 4TH ST, LOUISVILLE, KY 40203-2188
(502) 314-2668
Mailing address
2004 AYARS CT, LOUISVILLE, KY 40218-3510
(502) 314-2668
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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