Healthcare Provider Details
I. General information
NPI: 1447346572
Provider Name (Legal Business Name): LEXINGTON ORTHOPEDIC ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
620 HOWARD AVE # OP-3
ALTOONA PA
16601-4804
US
IV. Provider business mailing address
620 HOWARD AVE # OP-3
ALTOONA PA
16601-4804
US
V. Phone/Fax
- Phone: 814-889-3408
- Fax: 814-889-3409
- Phone: 814-889-3408
- Fax: 814-889-3409
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0801X |
| Taxonomy | Orthopaedic Trauma Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DENIZ
BAYSAL
Title or Position: ORTHOPEDIC SURGEON
Credential: MD
Phone: 814-889-3408