# LEXINGTON PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194741017
- **Authorized official:** ANN S GILES (ADMINISTRATOR OWNER)
- **Authorized official phone:** (859) 219-2828

## Contact information

- **Practice address:** 1055 WELLINGTON WAY, SUITE 215, LEXINGTON, KY 40513-1259
- **Practice address phone:** (859) 422-4369
- **Practice address fax:** (859) 422-4359
- **Mailing address:** 1055 WELLINGTON WAY, SUITE 275, LEXINGTON, KY 40513-1259
- **Mailing address phone:** (859) 219-2828
- **Mailing address fax:** (859) 219-0524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18482 | KY | Yes |
| 207R00000X | Internal Medicine Physician | — | KY | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 10/10/2013