Basic Information
Provider Information
NPI: 1477054427
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MEIER
FirstName: BRITTANI
MiddleName: LASHAE
NamePrefix:  
NameSuffix:  
Credential: PA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1134 TOM CAT TRL
Address2:  
City: LONDON
State: KY
PostalCode: 407416514
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2195 HARRODSBURG RD STE 125
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405043543
CountryCode: US
TelephoneNumber: 8592579255
FaxNumber: 8592573585
Other Information
ProviderEnumerationDate: 02/26/2018
LastUpdateDate: 11/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700XPA2359KYN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
363AS0400XPA2359KYN Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
363A00000XPA2359KYY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


Home