Organization
LEXINGTON PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN S GILES (ADMINISTRATOR OWNER)
(859) 219-2828
Entity
Organization
Contact information
Practice address
1055 WELLINGTON WAY, SUITE 215, LEXINGTON, KY 40513-1259
(859) 422-4369
(859) 422-4359
Mailing address
1055 WELLINGTON WAY, SUITE 275, LEXINGTON, KY 40513-1259
(859) 219-2828
(859) 219-0524
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18482
KY
207R00000X
Internal Medicine Physician
—
KY
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65941338
—
KY
05
—
78905205
—
KY
Enumeration date
07/14/2006
Last updated
10/10/2013
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