Provider Demographics
NPI:1386085108
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:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-889-7707
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 1:620 HOWARD AVE
Practice Address - Street 2:SUITE 7F
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4804
Practice Address - Country:US
Practice Address - Phone:814-889-2328
Practice Address - Fax:814-889-7724
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LEXINGTON SURGICAL ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty