Individual provider · Type 1 NPI

Lara Karina Gannon, PA-C

Surgical Physician Assistant · Lexington, KY

NPI number 1558310086 Active

Practice location

1101 Veterans Drive, Va Medical Center
Lexington, KY 40502-2236

Call (859) 324-5941 Map

Mailing address

103 Patrick Henry Ct
Danville, KY 40422-1788

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1558310086

Lara Karina Gannon, PA-C's National Provider Identifier is 1558310086, issued on May 10, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lexington, KY. The record was last updated on Aug 15, 2013.