Sutton-Davis, Lesa Sue

Sutton-Davis, Lesa Sue is an individual health care provider with primary practice located at 2000 N Elm St Ste 1B , Henderson KY 42420-2385. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sutton-Davis, Lesa Sue can be contacted via phone (270) 844-8144.

Contact Information

Primary practice address
2000 N Elm St Ste 1B Henderson KY 42420-2385
Phone: (270) 844-8144
Fax: (270) 844-8145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36607 Kentucky

Profile Details

NPI number 1396743258
LBN Legal business name Sutton-Davis, Lesa Sue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Mar 17th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396743258 NPPES
Kentucky Other 000000910700 ANTHEM - NCMA
Kentucky Other 170480 ANTHEM - NCMA
Kentucky Other 50086973 ANTHEM - NCMA
Kentucky Other 50086969 ANTHEM - NCMA
Kentucky MEDICAID 64027493 ANTHEM - NCMA

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