Provider Demographics
NPI:1972620151
Name:PLASTIC SURGEONS OF LEXINGTON, PLLC
Entity Type:Organization
Organization Name:PLASTIC SURGEONS OF LEXINGTON, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:HILL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:859-276-3883
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:SUITE B-488
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-276-3883
Mailing Address - Fax:859-276-3855
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:SUITE B-488
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-276-3883
Practice Address - Fax:859-276-3855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0309Medicare PIN