# NEW LEXINGTON CLINIC, PSC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEW LEXINGTON CLINIC, PSC
- **Other names:** Lexington Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306001649
- **Legal business name:** NEW LEXINGTON CLINIC, PSC
- **Authorized official:** JASON LADD (CFO)
- **Authorized official phone:** (859) 258-4116

## Contact information

- **Practice address:** 1221 S BROADWAY, LEXINGTON, KY 40504-2701
- **Practice address phone:** (859) 258-6000
- **Practice address fax:** (859) 258-6123
- **Mailing address:** 1221 S BROADWAY, LEXINGTON, KY 40504-2701
- **Mailing address phone:** (859) 258-6200
- **Mailing address fax:** (859) 258-6203

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2008
- **Last updated:** 05/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0169 | MEDICARE GROUP NUMBER | KY |
| 05 | — | 95900475 | — | KY |