AUDRA ISAAC GROSSMAN

LEXINGTON, KY
NPI1619396439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: KY  50614)
Enumeration Date2014-04-09
Last Update Date2024-10-03
Business Address
AUDRA ISAAC GROSSMAN
2405 HARRODSBURG RD
LEXINGTON, KY 40504-3329
Phone number: 859-278-9492
Mailing Address
AUDRA ISAAC GROSSMAN
801 YORK ST
MANITOWOC, WI 54220-4630
Phone number: 920-663-9008