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LUCY K. BALLARD M.D.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1932164779

Individual Registrant:
 LUCY K. BALLARD M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
901 LEIGHTON AVE SUITE 501 ANNISTON, AL 36207-5700 US
Tel: 256-237-6755  Fax: 256-236-1823

Contact information for business:
901 LEIGHTON AVE SUITE 501 ANNISTON, AL 36207-5700 US
Tel: 256-237-6755  Fax: 256-236-1823

Registration Information:
NPI: 1932164779
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
AL22760

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
000029471AL05




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