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Contact Information

LEE A BALAKLAW, MD
1057 MEADOWBROOK LN
LOUISA, KY41230-9658
 Phone: 606-638-4300
 Fax: 606-638-0039
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for LEE A BALAKLAW · (Male)

NPI Number 1396739736
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2005
Last updated 03/13/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 29892
  • VT License # 042-0008748
  • KY Medicaid 64298920
  • VT Medicaid 1019052
  • WV Medicaid 0060588000
  • Other 000000050355 BLUE CROSS BLUE SHIELD
  • Other 3257452 CIGNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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