institution
Lexington Diabetic Center Psc
Family Nurse Practitioner in Lexington, Kentucky
NPI 1356499602

Lexington Diabetic Center Psc is a Family Nurse Practitioner based in Lexington, KY and is specialized in Family. Lexington Diabetic Center Psc practices in Lexington, KY. The NPI Number for Lexington Diabetic Center Psc is 1356499602 and holds a License No. 39043 (Kentucky).

The current practice location address for Lexington Diabetic Center Psc is 3292 Eagle View Ln, Lexington, KY and can be reached out via phone at 859-977-8855 and via fax at 859-977-8856.

Location: 3292 Eagle View Ln, Lexington, KY, 40509-2173
institution
Provider Profile Details
NPI Number
1356499602
Provider Name
Lexington Diabetic Center Psc
Credential
Provider Entity Type
Organization
Address
3292 Eagle View Ln, Lexington, KY, 40509-2173
Phone Number
859-977-8855
Fax Number
859-977-8856
Provider Enumeration Date
01/05/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00404838 01 KY TG LDC RAILROAD PIN
64313646 05 KY
1285781682 01 KY TOSHA NPI
64094485 05 KY
DD2844 01 KY TG LDC RR GRP
65946022 05 KY
000000545010 01 TG ANTHEM LDC
institution
Provider Business Practice Location Address Details
Address
3292 Eagle View Ln
City
State
Zip
40509-2173
Phone Number
859-977-8855
Fax Number
859-977-8856
person
Provider Business Mailing Address Details
Address
3292 Eagle View Ln
City
State
Zip
40509-2173
Phone Number
859-977-8855
Fax Number
859-977-8856
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
License No.
(Kentucky)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
39043 (Kentucky)
Definition
Definition to come...
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