Provider Demographics
NPI:1033305743
Name:LEXINGTON NEUROSCIENCES CENTER PLLC
Entity Type:Organization
Organization Name:LEXINGTON NEUROSCIENCES CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:JALIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOJAEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-255-1009
Mailing Address - Street 1:2708 OLD ROSEBUD RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-8559
Mailing Address - Country:US
Mailing Address - Phone:859-255-1009
Mailing Address - Fax:859-255-0740
Practice Address - Street 1:2708 OLD ROSEBUD ROAD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509
Practice Address - Country:US
Practice Address - Phone:859-255-1009
Practice Address - Fax:859-255-0740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty