Provider Demographics
NPI:1306999529
Name:LEXINGTON OB GYN PC
Entity type:Organization
Organization Name:LEXINGTON OB GYN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:TROISE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-463-7361
Mailing Address - Street 1:110 HOUSTON ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2437
Mailing Address - Country:US
Mailing Address - Phone:540-463-7361
Mailing Address - Fax:
Practice Address - Street 1:110 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2437
Practice Address - Country:US
Practice Address - Phone:540-463-7361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054316207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAG32301Medicare UPIN
VA00V657L74Medicare ID - Type Unspecified