| Lexington Family Practice Lake Murray | |
|
2006 Augusta Hwy Lexington SC 29072-4810 | |
| (803) 785-4747 | |
| (803) 785-4750 |
| Full Name | Lexington Family Practice Lake Murray |
|---|---|
| Speciality | Family Medicine |
| Location | 2006 Augusta Hwy, Lexington, South Carolina |
| Authorized Official Name and Position | Melinda P. Kruzner (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 8037912000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Family Practice Lake Murray 508 Hulon Ln West Columbia SC 29169-3439 Ph: (803) 785-4747 | Lexington Family Practice Lake Murray 2006 Augusta Hwy Lexington SC 29072-4810 Ph: (803) 785-4747 |
| NPI Number | 1629096581 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 11/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629096581 | NPI | - | NPPES |
| GP3226 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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