Organization
LEXINGTON VEIN & AESTHETIC CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FADI BACHA M.D. (PRESIDENT)
(859) 269-4668
Entity
Organization
Contact information
Practice address
1055 DOVE RUN RD, LEXINGTON, KY 40502-3536
(859) 269-4668
Mailing address
1055 DOVE RUN RD, LEXINGTON, KY 40502-3536
(859) 269-4668
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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