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NPI Code Detail

MEDICARE: BRANDY LAKAROSKY

MEDICARE: BRANDY LAKAROSKY
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
1183500000XPharmacist015011KY

General Provider Information

NPI Number : 1528341096
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDY LAKAROSKY
Provider Business Mailing Address
First Line : 8614 FENWICK CREEK PL APT A
Second Line :
City : LOUISVILLE
State : KY
Zip : 40220-5837
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2021 HIKES LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-4817
Country : US
Telephone Number : 502-451-0938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 11/22/2013

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Directions to “ BRANDY LAKAROSKY ” Practice Location

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