Nova Physician Group Pllc | |
208 Legends Ln Ste 160 Lexington KY 40505-3287 | |
(859) 201-9870 | |
(312) 929-0373 |
Full Name | Nova Physician Group Pllc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 208 Legends Ln Ste 160, Lexington, Kentucky |
Authorized Official Name and Position | Terrence Morton (SR. MEDICAL DIRECTOR) |
Authorized Official Contact | 3127339730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nova Physician Group Pllc 30 W Monroe St Ste 1200 Chicago IL 60603-2420 Ph: (773) 352-1515 | Nova Physician Group Pllc 208 Legends Ln Ste 160 Lexington KY 40505-3287 Ph: (859) 201-9870 |
NPI Number | 1619724606 |
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Provider Enumeration Date | 05/06/2024 |
Last Update Date | 05/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619724606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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