LEXINGTON COUNTY HEALTH SERVICES DISTRICT INC. NPI 1861418329

NPI Information

NPI: 1861418329
Provider Name: LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC.

Doing Business As: LEXINGTON PEDIATRIC PRACTICE

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
811 WEST MAIN STREET
STE 204
LEXINGTON, SC
ZIP 29072
Phone: (803) 359-8855
Get Directions

LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. is an adolescent medicine pediatrics in Lexington, SC. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. NPI is 1861418329. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lexington Pediatric Practice.

The provider's business location address is:

811 WEST MAIN STREET
STE 204
LEXINGTON, SC
ZIP 29072
Phone: (803) 359-8855
Fax: (803) 359-1257

The provider's authorized official is Melinda P Kruzner .
The authorized official title is Executive Vice President and has the following contact phone number (803) 791-2000.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 6/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GP0991	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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