Bluegrass Podiatric Management LLC

NPI #1720477672 in Louisville, Kentucky

Provider Information

NPI Number
1720477672
Entity Type
Organization
Organization Name
Bluegrass Podiatric Management LLC
Primary Specialty
Podiatrist
Enumeration Date
Jan 15, 2015
Last Updated
Oct 29, 2024

Practice Location

Address
9800 SHELBYVILLE RD STE 202
ZIP Code
40223-5440
Phone
(502) 536-7224

Authorized Official

Name
ANGIE LASORELLA
Title
CREDENTIALING SUPERVISOR
Phone
(513) 829-9333

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner
Podiatrist

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