Healthcare Provider Details

I. General information

NPI: 1265660708
Provider Name (Legal Business Name): LEXINGTON FAMILY PHYSICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2009
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W CHURCH ST
LEXINGTON TN
38351-2038
US

IV. Provider business mailing address

200 W CHURCH ST
LEXINGTON TN
38351-2038
US

V. Phone/Fax

Practice location:
  • Phone: 731-968-3646
  • Fax: 731-967-1202
Mailing address:
  • Phone: 731-968-3646
  • Fax: 731-967-1202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: LARRY HENSON
Title or Position: RCD
Credential:
Phone: 336-944-6420