Organization
COMPREHENSIVE MEDICINE OF LEXINGTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE G O'CONNELL (MEMBER)
(859) 294-0130
Entity
Organization
Contact information
Practice address
2100 LIBERTY RD, LEXINGTON, KY 40509-4319
(859) 294-0130
(859) 294-0236
Mailing address
2100 LIBERTY RD, LEXINGTON, KY 40509-4319
(859) 294-0130
(859) 294-0236
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
31089
KY
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730284597
UROLOGY
KY
Enumeration date
01/15/2018
Last updated
01/15/2018
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