Individual
MRS. LAUREN WEBB WADDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
301 VERSAILLES RD, FRANKFORT, KY 40601-3633
(502) 352-2310
(502) 352-2311
Mailing address
301 VERSAILLES RD, FRANKFORT, KY 40601-3633
(502) 352-2310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010015
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71100398030
—
KY
01
—
K149990
MEDICARE
KY
Enumeration date
01/11/2016
Last updated
05/11/2018
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