Organization Name: | LEXINGTON FOOT & ANKLE CENTER PSC |
NPI Number: | 1033261607 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL C ALLEN (CEO) |
Mailing Address: | 103 Diagnostic Dr Suite B Frankfort |
State: | KY US |
Postal Code: | 406016524 |
Phone Number: | 8592788855 |
Fax Number: | 8592788856 |
NPI Enumeration Date: | 01/17/2007 |
NPI Last Update Date: | 08/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 00236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |