Gastroenterology Care Center | |
160 N Eagle Creek Dr Suite 202 Lexington KY 40509-2121 | |
(859) 263-0022 | |
(859) 263-4666 |
Full Name | Gastroenterology Care Center |
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Speciality | Internal Medicine - Gastroenterology |
Location | 160 N Eagle Creek Dr, Lexington, Kentucky |
Authorized Official Name and Position | Laurie Haas (PRESIDENT) |
Authorized Official Contact | 8592630022 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gastroenterology Care Center 160 N Eagle Creek Dr Suite 202 Lexington KY 40509-2121 Ph: (859) 263-0022 | Gastroenterology Care Center 160 N Eagle Creek Dr Suite 202 Lexington KY 40509-2121 Ph: (859) 263-0022 |
NPI Number | 1013001858 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 07/03/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013001858 | NPI | - | NPPES |
65935272 | Medicaid | KY | |
9590117900 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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