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Organization

LEXINGTON FOOT & ANKLE CENTER, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL C ALLEN DPM (OWNER)
(859) 278-8855
Entity
Organization

Contact information

Practice address
1401 HARRODSBURG RD, SUITE C 115, LEXINGTON, KY 40504-3751
(859) 278-8855
Mailing address
772 ELIZAVILLE AVE, FLEMINGSBURG, KY 41041-9802
(606) 849-2323

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80900061
KY
Enumeration date
12/16/2010
Last updated
12/16/2010
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