Individual
MRS. LEWANDA WELCH BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 LEXINGTON RD, VERSAILLES, KY 40383-1738
(859) 251-4700
Mailing address
105 BRANDON CT, OSWEGO, IL 60543-7331
(630) 815-2616
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
041506000
IL
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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