Organization
NEW LEXINGTON CLINIC PSC
Active
Parent organization
NEW LEXINGTON CLINIC PSC
Other names
Lexington Clinic Cardiology
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW LEXINGTON CLINIC PSC
Authorized official
DEE GAINES (ASST DIRECTOR)
(859) 258-6091
Entity
Organization
Contact information
Practice address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6091
(859) 258-4161
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-6091
(859) 258-4161
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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