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NPI 1609025725

NPI 1609025725 : LEXINGTON FOOT & ANKLE CENTER, PSC : LEXINGTON, KY

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General NPI Number Information
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    NPI Number           |    1609025725
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    Entity Type          |    Organization 
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    Legal Business Name  |    LEXINGTON FOOT & ANKLE CENTER, PSC 
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Dates
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    Enumeration Date     |    09/12/2008
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    Last Update Date     |    09/12/2008
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Provider Practice Location Address
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    Address Line         |    1401 HARRODSBURG RD STE C115
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40504-3751
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    Country              |    US
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    Telephone            |    859-278-8855
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    Fax                  |    859-278-8856
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Provider Business Mailing Address
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    Address Line         |    3292 EAGLE VIEW LN STE 210
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    City                 |    LEXINGTON
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    State                |    KY
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    Zip                  |    40509-2173
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    Country              |    US
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    Telephone            |    859-278-8855
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    Fax                  |    859-278-8856
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Authorized Official
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    Title or Position    |    COO
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    Name                 |    MRS. KIMBERLY M LAWSON 
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    Credential           |    MBA
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    Telephone            |    859-278-8855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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