Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Other names
Shriners Hospitals for Children Clinic Professional Services-Lexington
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY LEWGOOD (ADMINISTRATOR)
(959) 268-5631
Entity
Organization
Contact information
Practice address
110 CONN TER, LEXINGTON, KY 40508-3206
(859) 266-2101
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/07/2016
Last updated
10/04/2017
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