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Organization

LEXINGTON CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANA MCCUTCHEON M.D. (OWNER)
(256) 229-6691
Entity
Organization

Contact information

Practice address
11631 HIGHWAY 101, LEXINGTON, AL 35648-3249
(256) 229-6691
(256) 229-6866
Mailing address
11631 HIGHWAY 101, LEXINGTON, AL 35648-3249

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00019246
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51521666
BLUE CROSS ID
AL
Enumeration date
12/21/2006
Last updated
08/22/2020
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