Individual
MR. LEE G HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 NICHOLASVILLE RD, SUITE #701, LEXINGTON, KY 40503-1404
(859) 276-0414
(859) 276-3765
Mailing address
PO BOX 910670, LEXINGTON, KY 40591-0670
(859) 971-4685
(859) 971-4602
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
30737
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64307374
—
KY
Enumeration date
08/03/2005
Last updated
12/04/2020
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