Healthcare Provider Details

I. General information

NPI: 1326489584
Provider Name (Legal Business Name): LEXINGTON FAMILY MEDICINE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2013
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5294 MAIN ST
LEXINGTON MI
48450-8777
US

IV. Provider business mailing address

5294 MAIN ST
LEXINGTON MI
48450-8777
US

V. Phone/Fax

Practice location:
  • Phone: 989-948-1649
  • Fax:
Mailing address:
  • Phone: 989-948-1649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301083893
License Number StateMI

VIII. Authorized Official

Name: DR. CHRISTIE S LAMING
Title or Position: OWNER
Credential: M.D.
Phone: 989-948-1649