Organization
LEXINGTON DERMATOLOGY & LASER CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH K PHILLIPS MD (OWNER)
(903) 736-3337
Entity
Organization
Contact information
Practice address
4071 TATES CREEK CENTRE DR STE 202, LEXINGTON, KY 40517-3094
(859) 226-0206
(859) 226-0207
Mailing address
4071 TATES CREEK CENTRE DR STE 202, LEXINGTON, KY 40517-3094
(859) 226-0206
(859) 745-0836
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/09/2011
Last updated
01/09/2019
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