Most Relevant Information
Provider Data
| NPI Number: | 1003308420 |
| Provider Name: | HANNAH LYNN DEAL HARRISON DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/01/2018 |
| Last Updated: | 06/07/2022 |
Provider Practice Location
550 S JACKSON ST FL 3
LOUISVILLE
KY
402021622
Practice Location Phone/Fax
| Phone: | 5025618800 |
| Fax: | 5025618808 |
Provider Mailing Location
PO BOX 909
LOUISVILLE
KY
402010909
Provider Mailing Phone/Fax
| Phone: | 5025618800 |
| Fax: |