Organization
LEXINGTON CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY HENSON (RCD, AUTHORIZED OFFICIAL)
(336) 944-6420
Entity
Organization
Contact information
Practice address
18688 JEB STUART HWY, STUART, VA 24171-1559
(336) 944-6420
Mailing address
PO BOX 111, STUART, VA 24171-0111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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