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Individual

MEGAN LANHAM FACKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
7238 W HIGHWAY 80, NANCY, KY 42544-8752
(606) 636-4214
(606) 636-4215
Mailing address
7238 W HIGHWAY 80, NANCY, KY 42544-8752
(606) 636-4214
(606) 636-4215

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011765
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100548470
KY
05
800921908
KY
Enumeration date
04/03/2015
Last updated
12/11/2018
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