| Centerwell Senior Primary Care- Regency Center | |
|
171 W Lowry Ln Ste 180 Lexington KY 40503-3006 | |
| (859) 334-1550 | |
| (877) 471-2996 |
| Full Name | Centerwell Senior Primary Care- Regency Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 171 W Lowry Ln Ste 180, Lexington, Kentucky |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care- Regency Center 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care- Regency Center 171 W Lowry Ln Ste 180 Lexington KY 40503-3006 Ph: (859) 334-1550 |
| NPI Number | 1750093738 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 08/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750093738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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