Organization
NEW LEXINGTON CLINIC, PSC
Active
Parent organization
NEW LEXINGTON CLINIC, PSC
Other names
Lexington Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW LEXINGTON CLINIC, PSC
Authorized official
JASON LADD (CFO)
(859) 258-4116
Entity
Organization
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6000
(859) 258-6123
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6200
(859) 258-6203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169
MEDICARE GROUP NUMBER
KY
05
—
95900475
—
KY
Enumeration date
07/25/2008
Last updated
05/07/2026
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