Provider Demographics
NPI:1326489584
Name:LEXINGTON FAMILY MEDICINE, PLLC
Entity Type:Organization
Organization Name:LEXINGTON FAMILY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:LAMING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-948-1649
Mailing Address - Street 1:5294 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48450-8777
Mailing Address - Country:US
Mailing Address - Phone:989-948-1649
Mailing Address - Fax:
Practice Address - Street 1:5294 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MI
Practice Address - Zip Code:48450-8777
Practice Address - Country:US
Practice Address - Phone:989-948-1649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301083893207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty