Candice Elam O.D.

NPI 1578877833 - Optometrist - 152W00000X

NPI Details
NPI 1578877833
Gender Female
Enumeration Date 07/28/2010
Last Updated 11/06/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
2250 LEESTOWN RD
2250 LEESTOWN ROAD
LEXINGTON KY, 40511-1052, US
Phone (859) 233-4511
Fax
Business Location
2250 LEESTOWN RD
LEXINGTON VETERANS AFFAIRS MEDICAL CENTER
LEXINGTON KY, 40511-1052, US
Phone (859) 233-4511
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Kentucky
License Number 1810DT
Remove 1578877833 NPI Number
 

According to our database, Candice Elam O.D. NPI is 1578877833, taxonomy code is 152W00000X and license number is 1810DT, license state is located at Kentucky. Candice Elam O.D. physically located at 2250 Leestown Rd, Lexington KY, 40511-1052. NPI Number Candice Elam O.D. has the Individual type.

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1578877833 NPI number is provided on an as is basis without warranty of any kind. 1578877833 is maintained by the National Plan & Provider Enumeration System. The contents of Candice Elam O.D. are for informational purposes only.