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1164526489
LISA FUGATE
FLORENCE, KY
NPI
1164526489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 02519)
Enumeration Date
2006-09-08
Last Update Date
2021-04-03
Business Address
LISA FUGATE D.O.
7607 DIXIE HWY
FLORENCE, KY 41042
Phone number: 859-655-6100
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Mailing Address
LISA FUGATE D.O.
215 E 11TH ST
NEWPORT, KY 41071-2203
Phone number: 859-655-6100
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