| NPI | 1457808495 |
|---|---|
| Other Name | SHRINERS HOSPITALS FOR CHILDREN CLINIC PROFESSIONAL SERVICES-LEXINGTON |
| Entity Type | Organization |
| Authorized Contact | ANTHONY LEWGOOD Administrator 959-268-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2017-10-04 |