NPI 1003510033

Misa Ito, MDPHD

Practitioner Student in an Organized Health Care Education/Training Program Lexington, KY

Practice location

Address: 900 S Limestone Ctw 304, Lexington, KY 40536-0001
Phone: (859) 323-6561
Mailing address: 165 Penmoken Park, Lexington, KY 40503-1917

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003510033
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Mar 2023
Record last updated: 27 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.