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LUCY K. BALLARD M.D.
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1932164779
Individual Registrant: LUCY K. BALLARD M.D.
Gender: F
Not Sole Proprietor
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
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
Tel: 256-237-6755 Fax: 256-236-1823
Registration Information:
NPI: 1932164779
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | AL | 22760 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 000029471 | AL | 05 |
