Organization
LEXINGTON DIABETIC CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ALLEN (CEO)
(859) 977-8855
Entity
Organization
Contact information
Practice address
103 DIAGNOSTIC DR, SUITE B, FRANKFORT, KY 40601-6524
(859) 977-8855
(859) 278-8856
Mailing address
103 DIAGNOSTIC DR, SUITE B, FRANKFORT, KY 40601-6524
(859) 977-8855
(859) 278-8856
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
43304
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285781682
TOSHA NPI
—
05
—
78009958
—
KY
Enumeration date
05/01/2007
Last updated
08/22/2020
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