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Organization
NEW LEXINGTON CLINIC, PSC
Active
Organization
NEW LEXINGTON CLINIC, PSC
Active
Parent organization
NEW LEXINGTON CLINIC, PSC
Other names
Lexington Clinic Care Management
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW LEXINGTON CLINIC, PSC
Authorized official
DEE GAINES (ASST DIRECTOR)
(859) 258-6091
Entity
Organization
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169
CMS GROUP
KY
Enumeration date
07/17/2019
Last updated
11/27/2023
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