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NPI 1396739736 · live from the CMS NPI Registry

Lee Adam Balaklaw, M.D.

Anesthesiology in Louisa, KY. National Provider Identifier 1396739736, active.

NPI record

NPI1396739736 Type 1 · individual
StatusActive
Primary specialtyAnesthesiology 207L00000X
Practice location1057 Meadowbrook Ln, Louisa, KY 41230
Practice phone606-638-4300
EnumeratedAugust 31, 2005
Last updatedMarch 13, 2013
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology, Pain Medicine207LP2900X29892 (KY)
Anesthesiology, Pain Medicine207LP2900X042-0008748 (VT)
Anesthesiology primary207L00000X29892 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.