Ingram, Lara Brooke
Ingram, Lara Brooke is an individual health care provider with primary practice located at 502 Farrell Dr , Covington KY 41011-3717. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ingram, Lara Brooke can be contacted via phone (859) 331-3292.Contact Information
Primary practice address
502 Farrell Dr
Covington KY 41011-3717
Phone: (859) 331-3292
Fax: (859) 578-2864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 1727 | Kentucky |
Profile Details
| NPI number | 1952349219 |
|---|---|
| LBN Legal business name | Ingram, Lara Brooke |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952349219 | NPPES |
| Kentucky | Other | 184607 | MEDICARE GROUP NUMBER |
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