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Organization
LEXINGTON CLINIC CORP
Active
Organization
LEXINGTON CLINIC CORP
Active
Parent organization
LEXINGTON CLINIC CORP
Other names
Lexington Family Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEXINGTON CLINIC CORP
Authorized official
LARRY HENSON (RCD)
(336) 944-6420
Entity
Organization
Contact information
Practice address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(731) 968-3646
(731) 968-1705
Mailing address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(731) 968-3646
(731) 968-1705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/14/2006
Last updated
05/20/2021
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