Provider First Line Business Practice Location Address:
VAMC 1101 VETERANS DRIVE
Provider Second Line Business Practice Location Address:
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:
859-233-4511
Provider Business Practice Location Address Fax Number:
859-281-4803
Provider Enumeration Date:
09/15/2006