| NPI | 1750186938 |
|---|---|
| Other Name | LEXINGTON MEDICAL TATTOOING & SCAR CORRECTION |
| Entity Type | Organization |
| Authorized Contact | CARISSA FONDAW Owner 859-550-6224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-02-13 |