Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI Number | 1578025029 |
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| LBN Legal business name | NEW LEXINGTON CLINIC, PSC | ||||
| Authorized official | JASON LADD - (COF) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 04/03/2019 | ||||
| Last updated | 05/07/2026 - About a month ago | ||||
| Identifiers |
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