IndividualActive
Lara Gannon, PA-C
NPI 1558310086 · Surgical Physician Assistant · Lexington, KY
Provider details
- NPI number
- 1558310086
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1101 Veterans Drive
Va Medical Center
Lexington, KY 40502-2236
Phone: (859) 324-5941
Approximate (ZIP-level) locationGet directions
Mailing address
103 Patrick Henry Ct
Danville, KY 40422-1788
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2013-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.