MRS. SHAWNICKA DIANE ITSON, B.A
Medical Practice at Newtown Pike, Lexington, KY

License number
Kentucky 171M00000
Category
Medical Practice
Type
Case Manager/Care Coordinator
Address
Address
1351 Newtown Pike, Lexington, KY 40511
Phone
(859) 253-1686
(859) 254-2743 (Fax)
National Provider ID: 1215358700
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Shawnicka Itson, age 45
544 Chestnut St, Lexington, KY 40508
(859) 554-5835
Shawnicka D Itson, age 45
544 Chestnut St, Lexington, KY 40508
(859) 554-5835

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