Provider First Line Business Practice Location Address:
110 CONN TER STE 550
Provider Second Line Business Practice Location Address:
UNIVERSITY OF KENTUCKY DEPT OF OPHTHALMOLOGY
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40508-3206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-323-5867
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/22/2008