# LEXINGTON MEDICAL TATTOOING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lexington Medical Tattooing & Scar Correction
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750186938
- **Authorized official:** CARISSA FONDAW (OWNER)
- **Authorized official phone:** (859) 550-6224

## Contact information

- **Practice address:** 166 PROSPEROUS PL STE 300, LEXINGTON, KY 40509-2178
- **Practice address phone:** (859) 550-6224
- **Mailing address:** 166 PROSPEROUS PL STE 300, LEXINGTON, KY 40509-2178
- **Mailing address phone:** (859) 550-6224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | Yes |
| 174400000X | Specialist | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2025
- **Last updated:** 02/13/2025