Healthcare Provider Details

I. General information

NPI: 1497964399
Provider Name (Legal Business Name): LANLA F. CONTEH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 S LIMESTONE STE D201
LEXINGTON KY
40536-1240
US

IV. Provider business mailing address

740 S LIMESTONE STE D201
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-0079
  • Fax: 859-323-8173
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number35.094894
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number60779
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License Number60779
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: