Healthcare Provider Details

I. General information

NPI: 1093977324
Provider Name (Legal Business Name): LEXINGTON FAYETTE URBAN COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2008
Last Update Date: 06/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 EAST FIFTH STREET
LEXINGTON KY
40508
US

IV. Provider business mailing address

650 NEWTOWN PIKE
LEXINGTON KY
40508-1113
US

V. Phone/Fax

Practice location:
  • Phone: 859-252-2371
  • Fax:
Mailing address:
  • Phone: 859-252-2371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: CARRIE WHITE
Title or Position: BS MANAGER
Credential:
Phone: 859-288-2311