Provider First Line Business Practice Location Address:
800 ROSE STREET
Provider Second Line Business Practice Location Address:
CC446 ROACH BLDG. UK HEMATOLOGY CLINIC
Provider Business Practice Location Address City Name:
LEXINGTON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40536-0093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-257-6006
Provider Business Practice Location Address Fax Number:
859-257-6002
Provider Enumeration Date:
08/22/2006