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NPI Code Detail

MEDICARE: LORI NATION LEGRAND MD

MEDICARE: LORI NATION LEGRAND MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician38685KY

General Provider Information

NPI Number : 1336168251
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI NATION LEGRAND MD
Provider Business Mailing Address
First Line : 10060 SHELBYVILLE RD
Second Line :
City : SIMPSONVILLE
State : KY
Zip : 40067-6507
Country : US
Telephone Number : 502-644-3937
Fax Number :
Provider Business Practice Location Address
First Line : 213 MIDLAND BLVD
Second Line :
City : SHELBYVILLE
State : KY
Zip : 40065-7791
Country : US
Telephone Number : 502-410-0159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 09/02/2020

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Directions to “ LORI NATION LEGRAND MD” Practice Location

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