Larue, Vicki Lynn

Larue, Vicki Lynn is an individual health care provider with primary practice located at 3015 Wilson Ave , Louisville KY 40211-1969. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Larue, Vicki Lynn can be contacted via phone (502) 774-4401.

Contact Information

Primary practice address
3015 Wilson Ave Louisville KY 40211-1969
Phone: (502) 774-4401
Fax: (833) 471-8264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71001441A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3003839 Kentucky

Profile Details

NPI number 1932158516
LBN Legal business name Larue, Vicki Lynn
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Aug 14th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1932158516 NPPES
Indiana MEDICAID 200862460

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