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NPI Code Detail

MEDICARE: NEW LEXINGTON CLINIC, PSC

MEDICARE: NEW LEXINGTON CLINIC, PSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10169OTHERKYMEDICARE GROUP NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306001649
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW LEXINGTON CLINIC, PSC
Provider Business Mailing Address
First Line : 1221 S BROADWAY
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-2701
Country : US
Telephone Number : 859-258-6200
Fax Number : 859-258-6203
Provider Business Practice Location Address
First Line : 1221 S BROADWAY
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-2701
Country : US
Telephone Number : 859-258-6000
Fax Number : 859-258-6123
Authorized Official
Title or Position : CFO
Name : JASON LADD
Credential :
Telephone Number : 859-258-4116
Provider Enumeration Date : 07/25/2008
Last Update Date : 05/07/2026

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Practice Location Address:
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Directions to “NEW LEXINGTON CLINIC, PSC ” Practice Location

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