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Lariza Mae Fernando

NPI 1801267968 · on the registry since 2015 · sole proprietor

Practice

Address
26901 Us Hwy 119 S
Tug Valley Arh
Belfry, KY 41514
Phone
(606) 237-1460
Clinicians at this address
2

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky