Organization
LEXINGTON DIABETIC CENTER PSC
Active
Organization
LEXINGTON DIABETIC CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL C. ALLEN (CEO)
(859) 977-8855
Entity
Organization
Contact information
Practice address
3292 EAGLE VIEW LN, SUITE 210, LEXINGTON, KY 40509-2173
(859) 977-8855
(859) 977-8856
Mailing address
3292 EAGLE VIEW LN, SUITE 210, LEXINGTON, KY 40509-2173
(859) 977-8855
(859) 977-8856
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
39043
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000545010
TG ANTHEM LDC
—
01
—
1285781682
TOSHA NPI
KY
05
—
64094485
—
KY
05
—
64313646
—
KY
05
—
65946022
—
KY
01
—
DD2844
TG LDC RR GRP
KY
01
—
P00404838
TG LDC RAILROAD PIN
KY
Enumeration date
01/05/2007
Last updated
01/28/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up