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Organization
LEXINGTON MEDICAL TATTOOING
Active
Organization
LEXINGTON MEDICAL TATTOOING
Active
Other names
Lexington Medical Tattooing & Scar Correction
Organization subpart
No
Provider details
NPI number
Authorized official
CARISSA FONDAW (OWNER)
(859) 550-6224
Entity
Organization
Contact information
Practice address
166 PROSPEROUS PL STE 300, LEXINGTON, KY 40509-2178
(859) 550-6224
Mailing address
166 PROSPEROUS PL STE 300, LEXINGTON, KY 40509-2178
(859) 550-6224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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