Most Relevant Information
Provider Data
NPI Number: | 1003579780 |
Provider Name: | LISA DOTSON RN |
Entity Type: | Individual |
Taxonomy Code: | 314000000X |
Specialty: | Skilled Nursing Facility |
License Number: | 1158022 |
Most Important Dates
Enumeration Date: | 10/19/2021 |
Last Updated: | 10/19/2021 |
Provider Practice Location
1217 US HIGHWARY 62E
CYNTHIANA
KY
41031
Practice Location Phone/Fax
Phone: | 8592342702 |
Fax: |
Provider Mailing Location
1400 WHETSTONE RD
CARLISLE
KY
403119074
Provider Mailing Phone/Fax
Phone: | 4073108364 |
Fax: |