Provider Demographics
NPI:1013229426
Name:AU, MARGARET GRACE (MBE, MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:GRACE
Last Name:AU
Suffix:
Gender:F
Credentials:MBE, MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:740 S LIMESTONE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-218-1795
Mailing Address - Fax:859-257-1888
Practice Address - Street 1:740 S LIMESTONE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536
Practice Address - Country:US
Practice Address - Phone:859-218-1795
Practice Address - Fax:859-257-1888
Is Sole Proprietor?:No
Enumeration Date:2010-07-14
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000405170300000X
KYGC135170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS