Provider Demographics
NPI:1225374887
Name:LEXINGTON URGENT CARE PLLC
Entity Type:Organization
Organization Name:LEXINGTON URGENT CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NAWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SODA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-466-8956
Mailing Address - Street 1:1701 NICHOLASVILLE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1458
Mailing Address - Country:US
Mailing Address - Phone:859-466-8956
Mailing Address - Fax:
Practice Address - Street 1:1701 NICHOLASVILLE RD
Practice Address - Street 2:STE 100
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1458
Practice Address - Country:US
Practice Address - Phone:859-466-8956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-28
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty