LAKEN HEITZ

LOUISVILLE, KY
NPI1104604149
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: KY  4009488)
Enumeration Date2023-09-20
Last Update Date2023-09-20
Business Address
LAKEN HEITZ
3288 ILLINOIS AVE
LOUISVILLE, KY 40213-1014
Phone number: 502-515-5672
Mailing Address
LAKEN HEITZ
3288 ILLINOIS AVE
LOUISVILLE, KY 40213-1014
Phone number: