Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 1456 DT | KY |
NPI | 1013073691 |
---|---|
Provider Name | Dr. Rebecca Hope Lanham |
First Address | Lexington, KY 40503-3340 |
Second Address | Lexington, KY 40503-3340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 26/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
V06893 | (02) | KY |