Organization
SOUTH LEXINGTON INSTITUTE FOR METABOLIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M. HARRIS M.D. (PARTNER)
(859) 276-5262
Entity
Organization
Contact information
Practice address
1401 HARRODSBURG RD, SUITE B-355, LEXINGTON, KY 40504-3763
(859) 276-5262
(859) 277-6509
Mailing address
1401 HARRODSBURG RD, SUITE B-355, LEXINGTON, KY 40504-3763
(859) 276-5262
(859) 277-6509
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083619886
JOHN M. HARRIS, MD NPI
KY
01
—
1760601025
M. ROSS TEKULVE, MD NPI
KY
01
—
1891791158
JASON P. HARRIS, MD NPI
KY
Enumeration date
07/16/2009
Last updated
07/16/2009
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