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Organization
NEW LEXINGTON CLINIC PSC
Active
Organization
NEW LEXINGTON CLINIC PSC
Active
Parent organization
NEW LEXINGTON CLINIC PSC
Other names
Dermatology Associates of Kentucky PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW LEXINGTON CLINIC PSC
Authorized official
JASON LADD (CFO)
(859) 258-4116
Entity
Organization
Contact information
Practice address
250 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 263-4444
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4491
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100996150
—
KY
Enumeration date
10/02/2023
Last updated
05/07/2026
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