NPI 1043448889

Luis J Fabian

Practitioner Driver Louisville, KY

Practice location

Address: 5207 Saint Gabriel CT, Louisville, KY 40291-1622
Phone: (502) 550-0235

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence F06-508-181 (KY)

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Registry record

NPI: 1043448889
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2009
Record last updated: 1 Jul 2009

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.