Organization
LEXINGTON FOOT AND ANKLE CENTER, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL C ALLEN DPM (PROVIDER)
(859) 278-8855
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD, C115, LEXINGTON, KY 40504-3751
(859) 278-8855
(859) 278-8856
Mailing address
1401 HARRODSBURG RD, C115, LEXINGTON, KY 40504-3751
(859) 278-8855
(859) 278-8856
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
00236
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225830001
MEDICARE DMERC REGION B
KY
01
—
90003138
MEDICAID DME
KY
Enumeration date
03/25/2008
Last updated
06/02/2011
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