Healthcare Provider Details

I. General information

NPI: 1083864227
Provider Name (Legal Business Name): LUCIA HARDI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2008
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 FOUNTAIN CT STE 210
LEXINGTON KY
40509-1888
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 859-629-7265
  • Fax: 859-629-7266
Mailing address:
  • Phone: 606-330-7818
  • Fax: 606-330-7825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberKY 42846
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: