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Individual

LISA C YEARSLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ANCC

Contact information

Practice address
989 GOVERNORS LN STE 180, LEXINGTON, KY 40513-1174
(859) 338-3958
(859) 368-8135
Mailing address
989 GOVERNORS LN STE 180, LEXINGTON, KY 40513-1174
(859) 338-3958
(859) 368-8135

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3011002
KY
363LG0600X
Gerontology Nurse Practitioner
3011002
KY

Other

Enumeration date
02/01/2017
Last updated
02/06/2017
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