Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 04253 | KY |
Y | 2080P0204X | Pediatric Emergency Doctor | 04253 | KY |
NPI | 1013302967 |
---|---|
Provider Name | Elizabeth Lehto |
First Address | Louisville, KY 40201-0909 |
Second Address | Louisville, KY 40202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 30/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100432240 | (05) | KY |