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NPI Code Detail

MEDICARE: LEXINGTON ONCOLOGY ASSOCIATES, LLC

MEDICARE: LEXINGTON ONCOLOGY ASSOCIATES, LLC
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
1207RH0003XHematology & Oncology PhysicianSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548293749
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEXINGTON ONCOLOGY ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 2728 SUNSET BLVD STE 402
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-4839
Country : US
Telephone Number : 803-794-7511
Fax Number :
Provider Business Practice Location Address
First Line : 2728 SUNSET BLVD STE 402
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-4839
Country : US
Telephone Number : 803-794-7511
Fax Number :
Authorized Official
Title or Position : OWNER/MEMBER MANAGER
Name : STEVEN ALLAN MADDEN
Credential : M.D.
Telephone Number : 803-794-7511
Provider Enumeration Date : 07/09/2006
Last Update Date : 10/12/2007

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Directions to “LEXINGTON ONCOLOGY ASSOCIATES, LLC ” Practice Location

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