Provider First Line Business Practice Location Address:
252 LOCUST FARM RD
Provider Second Line Business Practice Location Address:
LOCUST TACE AGRISCIENCE CENTER
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40511-8702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-288-2492
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/18/2011