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Organization

COMPREHENSIVE MEDICINE OF LEXINGTON, LLC

Active
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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
Update your record

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