Provider Demographics
NPI:1861054777
Name:SPAGNOLIA, ALESSANDRA ANISE (MD)
Entity type:Individual
Prefix:DR
First Name:ALESSANDRA
Middle Name:ANISE
Last Name:SPAGNOLIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF LOUISVILLE - DEPT OF PLASTIC SURGERY
Mailing Address - Street 2:550 S JACKSON ST
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40292
Mailing Address - Country:US
Mailing Address - Phone:502-852-6880
Mailing Address - Fax:502-852-8915
Practice Address - Street 1:UNIVERSITY OF LOUISVILLE - DEPT OF PLASTIC SURGERY
Practice Address - Street 2:550 S JACKSON ST
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40292
Practice Address - Country:US
Practice Address - Phone:502-852-6880
Practice Address - Fax:502-852-8915
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-01
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY584842086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery