Provider Demographics
NPI:1134356124
Name:LYKINS SURGICAL ASSISTING, INC.
Entity type:Organization
Organization Name:LYKINS SURGICAL ASSISTING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-454-7766
Mailing Address - Street 1:PO BOX 22184
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40522-2184
Mailing Address - Country:US
Mailing Address - Phone:502-454-7766
Mailing Address - Fax:502-454-7788
Practice Address - Street 1:4119 BROWNS LN
Practice Address - Street 2:STE 2B
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1500
Practice Address - Country:US
Practice Address - Phone:502-454-7766
Practice Address - Fax:502-454-7788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty