Provider Demographics
NPI:1194094284
Name:LEXINGTON SURGICAL ASSOCIATES INC
Entity type:Organization
Organization Name:LEXINGTON SURGICAL ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-889-3600
Mailing Address - Street 1:620 HOWARD AVE
Mailing Address - Street 2:SUITE 3F
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4804
Mailing Address - Country:US
Mailing Address - Phone:814-889-7500
Mailing Address - Fax:814-889-7499
Practice Address - Street 1:601 HAWTHORNE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-2212
Practice Address - Country:US
Practice Address - Phone:814-889-3600
Practice Address - Fax:814-696-3073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty