Individual
DR. BRIAN ALAN LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 KENTUCKY AVE, SUITE 301, PADUCAH, KY 42003-3817
(270) 575-3113
(270) 575-3135
Mailing address
2605 KENTUCKY AVE, SUITE 306, PADUCAH, KY 42003-3800
(270) 415-7653
(270) 575-8359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42750
KY
207R00000X
Internal Medicine Physician
R1548
KY
207RC0000X
Cardiovascular Disease Physician
Primary
42750
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100103240
—
KY
Enumeration date
07/07/2008
Last updated
12/08/2020
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