| NPI | 1538596408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET RUTH LAKE Nurse Practitioner 859-353-2098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005852) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |