Associate in Dermatology and Dermatopathology Pllc
NPI #1689927576 in Louisville, Kentucky
Provider Information
- NPI Number
- 1689927576
- Entity Type
- Organization
- Organization Name
- Associate in Dermatology and Dermatopathology Pllc
- Primary Specialty
- Dermatology - Dermatopathology
- Enumeration Date
- Oct 17, 2012
- Last Updated
- Apr 18, 2018
Practice Location
- Address
- 1700 OLD BLUEGRASS AVE STE 200
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40215-1174
- Phone
- (502) 361-3909
Authorized Official
- Name
- LAFAYETTE G OWEN, MD
- Title
- OWNER
- Phone
- (812) 218-8927
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Dermatopathology — Dermatopathology |
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