Provider Demographics
NPI:1316774029
Name:MISSION LEXINGTON, INC.
Entity type:Organization
Organization Name:MISSION LEXINGTON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLISZKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-272-0219
Mailing Address - Street 1:230 S MARTIN LUTHER KING BLVD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-2603
Mailing Address - Country:US
Mailing Address - Phone:859-272-0219
Mailing Address - Fax:
Practice Address - Street 1:230 S MARTIN LUTHER KING BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-2603
Practice Address - Country:US
Practice Address - Phone:859-272-0219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health