Provider First Line Business Practice Location Address:
VA HEALTHCARE SYSTEM 1101 VETERANS DRIVE
Provider Second Line Business Practice Location Address:
(122HP-LD)
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40502-2236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-230-8241
Provider Business Practice Location Address Fax Number:
859-281-3867
Provider Enumeration Date:
03/20/2008