Individual
LAURALEE C COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 STONECREST ROAD, SUITE 3, SHELBYVILLE, KY 40065
(502) 633-5565
(502) 633-5154
Mailing address
101 STONECREST ROAD, SUITE 1, SHELBYVILLE, KY 40065
(502) 633-5565
(502) 633-5154
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA204
KY
Other
Enumeration date
08/09/2006
Last updated
01/07/2010
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