Bridgham, Lana
Bridgham, Lana is an individual health care provider with primary practice located at 1850 Bluegrass Ave , Louisville KY 40215-1161. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bridgham, Lana can be contacted via phone (502) 367-3360.Contact Information
Primary practice address
1850 Bluegrass Ave
Louisville KY 40215-1161
Phone: (502) 367-3360
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10002563A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | TC005 | Kentucky |
Profile Details
NPI number | 1497244867 |
---|---|
LBN Legal business name | Bridgham, Lana |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2018 |
Last updated | Nov 3rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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