NPI 1013629443

Lisa Marie Buckman

Practitioner Peer Specialist Lebanon, KY

Practice location

Address: 305 Koehler Dr, Lebanon, KY 40033-9388
Phone: (270) 402-8259

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1013629443
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2022
Record last updated: 16 Dec 2022

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.