MEDICARE: DR. RICHARD A LINGREEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	36356	KY
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	36356	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0500082140	OTHER	KY	RAILROAD MCAR PIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497714851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD A LINGREEN MD

Provider Business Mailing Address
First Line	:	2201 REGENCY RD STE 100
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-2336
Country	:	US
Telephone Number	:	859-278-1316
Fax Number	:	859-276-3847

Provider Business Practice Location Address
First Line	:	2416 REGENCY RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-2954
Country	:	US
Telephone Number	:	859-278-1316
Fax Number	:	859-276-3847

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	04/28/2023

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