LEXINGTON DIABETIC CENTER PSC NPI 1356499602

NPI Information

LEXINGTON DIABETIC CENTER PSC is a point of service in Lexington, KY. The provider is 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. LEXINGTON DIABETIC CENTER PSC NPI is 1356499602. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3292 EAGLE VIEW LN
SUITE 210
LEXINGTON, KY
ZIP 40509-173
Phone: (859) 977-8855
Fax: (859) 977-8856

The provider's authorized official is Michael C. Allen .
The authorized official title is Ceo and has the following contact phone number (859) 977-8855.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 1/28/2011.

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:

Other Identifiers

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

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