Provider Demographics
NPI:1093023327
Name:LAINHART, DEBORAH MARTIN
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MARTIN
Last Name:LAINHART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1095 CLEVELAND FORD RD
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-9534
Mailing Address - Country:US
Mailing Address - Phone:859-885-5569
Mailing Address - Fax:859-885-5569
Practice Address - Street 1:1095 CLEVELAND FORD RD
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-9534
Practice Address - Country:US
Practice Address - Phone:859-885-5569
Practice Address - Fax:859-885-5569
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY200701942174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist