Organization
LEXINGTON OB GYN ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH L OWEN RN (PRACTICE MANAGER)
(859) 278-0396
Entity
Organization
Contact information
Practice address
1700 NICHOLASVILLE RD STE 701, LEXINGTON, KY 40503-1467
(859) 278-0396
(859) 277-5414
Mailing address
1700 NICHOLASVILLE RD STE 701, LEXINGTON, KY 40503-1467
(859) 278-0396
(859) 277-5414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
65904625
KY
363LW0102X
Women's Health Nurse Practitioner
Primary
7100514990
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
7100514990
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60173
ANTHEM PROVIDER NUMBER
KY
05
—
7100142080
—
KY
Enumeration date
07/20/2006
Last updated
07/29/2019
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