Individual provider · Type 1 NPI

Lee Carol Threatt

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1891441754 Active

Practice location

1169 Eastern Pkwy
Louisville, KY 40217-1417

Call (502) 813-8280 Map

Fax (502) 473-1334

Mailing address

602 Ruggles Pl
Louisville, KY 40208-2294

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891441754

Lee Carol Threatt's National Provider Identifier is 1891441754, issued on Mar 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Mar 1, 2022.