Organization
ALLERGY ASTHMA AND IMMUNOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELENI LIVAS (MANAGER)
(859) 277-3114
Entity
Organization
Contact information
Practice address
1019 MAJESTIC DR STE 210, LEXINGTON, KY 40513-1947
(859) 277-3114
(859) 275-1942
Mailing address
1019 MAJESTIC DR STE 210, LEXINGTON, KY 40513-1947
(859) 277-3114
(859) 275-1942
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9590055100
—
KY
Enumeration date
03/08/2007
Last updated
02/15/2012
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