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Organization

NEW LEXINGTON CLINIC, PSC

Active
Parent organization
NEW LEXINGTON CLINIC, PSC
Other names
Lexington Clinic Pulmonology
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEW LEXINGTON CLINIC, PSC
Authorized official
DEE GAINES (ASST DIRECTOR)
(859) 258-4491
Entity
Organization

Contact information

Practice address
1225 S BROADWAY STE 201, LEXINGTON, KY 40504-2701
(859) 258-4568
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4491

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18D0664136
CLIA
KY
Enumeration date
11/12/2021
Last updated
11/12/2021
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