Organization
MARK A. DELOMAS, M.D., P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DELOMAS M.D. (OWNER)
(859) 268-1030
Entity
Organization
Contact information
Practice address
141 N EAGLE CREEK DR, SUITE 200, LEXINGTON, KY 40509-1832
(859) 543-1000
(859) 543-0399
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
9813
KY
363A00000X
Physician Assistant
PA736
KY
363L00000X
Nurse Practitioner
3002751
KY
Other
Enumeration date
12/27/2006
Last updated
08/21/2014
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