Provider First Line Business Practice Location Address:
1101 VETERANS DRIVE
Provider Second Line Business Practice Location Address:
DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40502
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-233-4511
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/15/2009