Provider Demographics
NPI:1982010211
Name:MCINTOSH, LUCY ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:LUCY
Middle Name:ANN
Last Name:MCINTOSH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LUCY
Other - Middle Name:ANN
Other - Last Name:SNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2284 VERSAILLES RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-1604
Mailing Address - Country:US
Mailing Address - Phone:859-278-3471
Mailing Address - Fax:
Practice Address - Street 1:2284 VERSAILLES RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-1604
Practice Address - Country:US
Practice Address - Phone:859-278-3471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-08
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY017200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist