Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 01082014A | IN |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 52657 | KY |
NPI | 1003182270 |
---|---|
Provider Name | Dr. Caroline Elmer-Lyon |
First Address | Edgewood, KY 41017-3416 |
Second Address | Edgewood, KY 41017-3416 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2012 |
Last Update Date | 03/07/2019 |