# LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
- **Other names:** Lakeside Pediatrics
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578855805
- **Legal business name:** LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.
- **Authorized official:** MELINDA SARVIS (EXECUTIVE VP)
- **Authorized official phone:** (803) 791-2000

## Contact information

- **Practice address:** 3240 SUNSET BLVD, WEST COLUMBIA, SC 29169
- **Practice address phone:** (803) 808-0523
- **Practice address fax:** (803) 794-6503
- **Mailing address:** PO BOX 896239, CHARLOTTE, NC 28289-6239
- **Mailing address phone:** (803) 808-0523
- **Mailing address fax:** (803) 794-6503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 9453 | SC | Yes |

## Other

- **Enumeration date:** 05/04/2011
- **Last updated:** 09/18/2018