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NPI Code Detail

MEDICARE: DR. DIANA LEE HEIMAN MD

MEDICARE: DR. DIANA LEE HEIMAN MD
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
1207Q00000XFamily Medicine Physician48204TN
2207QS0010XSports Medicine (Family Medicine) Physician54623KY
3207Q00000XFamily Medicine Physician54623KY

General Provider Information

NPI Number : 1932163201
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIANA LEE HEIMAN MD
Provider Business Mailing Address
First Line : 2195 HARRODSBURG RD STE 125
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3543
Country : US
Telephone Number : 859-323-5162
Fax Number :
Provider Business Practice Location Address
First Line : 2195 HARRODSBURG RD STE 125
Second Line :
City : LEXINGTON
State : KY
Zip : 40504-3543
Country : US
Telephone Number : 859-323-6371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 01/14/2021

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Directions to “ DR. DIANA LEE HEIMAN MD” Practice Location

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