MEDICARE: LHY WELLNESS 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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1588445837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LHY WELLNESS LLC

Provider Business Mailing Address
First Line	:	2909 RICHMOND RD STE 40
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1715
Country	:	US
Telephone Number	:	859-948-1496
Fax Number	:

Provider Business Practice Location Address
First Line	:	2909 RICHMOND RD STE 40
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1715
Country	:	US
Telephone Number	:	859-948-1496
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LESLIE YEAST
Credential	:
Telephone Number	:	859-948-1496

Provider Enumeration Date	:	10/12/2023
Last Update Date	:	01/29/2024

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Directions to “LHY WELLNESS LLC ” Practice Location

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