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: |