Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 48598 | KY |
N | 2080P0210X | Pediatric Nephrologist | 48598 | KY |
NPI | 1073747838 |
---|---|
Provider Name | Dr. Latawnya Dean Pleasant |
First Address | Lexington, KY 40504 |
Second Address | Lexington, KY 40504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2009 |
Last Update Date | 17/04/2019 |