Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 49704 | KY |
N | 111NI0900X | Internist | 49704 | KY |
NPI | 1003047457 |
---|---|
Provider Name | Mr. Fabrizio Canepa Escaro |
First Address | Lexington, KY 40536-0001 |
Second Address | Lexington, KY 40536-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2009 |
Last Update Date | 08/12/2020 |