| Lmc Idtf Lexington | |
|
811 W Main St Lexington SC 29072-2507 | |
| (803) 358-6100 | |
| Not Available |
| Full Name | Lmc Idtf Lexington |
|---|---|
| Speciality | Clinic/Center |
| Location | 811 W Main St, Lexington, South Carolina |
| Authorized Official Name and Position | Jeffrey Brillhart (SENIOR VP/CFO) |
| Authorized Official Contact | 8037912967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmc Idtf Lexington Po Box 6069 West Columbia SC 29171-6069 Ph: () - | Lmc Idtf Lexington 811 W Main St Lexington SC 29072-2507 Ph: (803) 358-6100 |
| NPI Number | 1275130650 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/12/2020 |
| Medicare PECOS PAC ID | 2567872070 |
|---|---|
| Medicare Enrollment ID | O20210125000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275130650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR0200X | Clinic/center - Radiology | (* (Not Available)) | Primary |
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