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1720310485
ANITA LAKES
LEXINGTON, KY
NPI
1720310485
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: KY 270058)
Enumeration Date
2010-02-05
Last Update Date
2021-11-30
Business Address
ANITA LAKES LPP
1353 W MAIN ST STE 100
LEXINGTON, KY 40508-2065
Phone number: 859-245-2400
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Mailing Address
ANITA LAKES LPP
1351 NEWTOWN PIKE
LEXINGTON, KY 40511-1275
Phone number: 859-253-1686
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