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Individual

NELSON LAMKIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 258-5244
(859) 258-5907
Mailing address
100 N EAGLE CREEK DR, LEXINGTON, KY 40509-1805
(859) 258-5244
(859) 258-5907

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
15319
KY
207KA0200X
Allergy Physician
15319
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37903705
MEDICAID LAB GROUP#
KY
01
4000501
MEDICARE LAB GROUP#
KY
05
64153190
KY
01
CB5773
RR MEDICARE GROUP#
GA
Enumeration date
07/09/2006
Last updated
11/02/2007
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