Organization
LFCHD
Active
Other names
tates creek elementary
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE WHITE (TEAM LEADER)
(859) 288-2311
Entity
Organization
Contact information
Practice address
1113 CENTRE PARKWAY, LEXINGTON, KY 40517
(859) 381-3606
Mailing address
1113 CENTRE PARKWAY, LEXINGTON, KY 40517
(859) 381-3606
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003419500
—
KY
Enumeration date
11/27/2007
Last updated
12/10/2007
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