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1669486197
LIA BACK
LEXINGTON, KY
NPI
1669486197
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA435)
Enumeration Date
2006-07-28
Last Update Date
2023-05-24
Business Address
LIA BACK PA
1221 S BROADWAY
LEXINGTON, KY 40504-2701
Phone number: 859-258-4000
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Mailing Address
LIA BACK PA
1221 S BROADWAY
LEXINGTON, KY 40504-2701
Phone number: 859-258-6200
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