Provider Demographics
NPI:1467126086
Name:LEXINGTON FERTILITY CENTER
Entity Type:Organization
Organization Name:LEXINGTON FERTILITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:VELOUDIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:859-230-8763
Mailing Address - Street 1:3074 MUIR STATION RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40516-9644
Mailing Address - Country:US
Mailing Address - Phone:859-230-8763
Mailing Address - Fax:
Practice Address - Street 1:3288 EAGLE VIEW LANE
Practice Address - Street 2:SUITE 240
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509
Practice Address - Country:US
Practice Address - Phone:859-230-8763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center