Healthcare Provider Details

I. General information

NPI: 1518348911
Provider Name (Legal Business Name): MEGAN LODEIRO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2015
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 N EAGLE CREEK DR STE 201
LEXINGTON KY
40509-2125
US

IV. Provider business mailing address

PO BOX 936
LONDON KY
40743-0936
US

V. Phone/Fax

Practice location:
  • Phone: 859-967-5520
  • Fax: 859-967-5444
Mailing address:
  • Phone: 606-330-7835
  • Fax: 859-967-5520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number61757
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD63486
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: