Mary Jane Lagrew, M.d., Llc
Pediatric Adolescent Medicine
Mary Jane Lagrew, M.d., Llc is a Lexington, Kentucky based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
1780 Nicholasville Rd, Suite 203, Lexington, Kentucky - 40503-1400. They can be contacted on phone at
859-277-7920 and fax number 859-278-9279.
NPI number (Unique professional ID) for Mary Jane Lagrew, M.d., Llc is
1427203454 which was assigned by NPPES on 18 Nov, 2008 and it was last updated on 18 Nov, 2008.
Mary Jane Lagrew, M.d., Llc license number is
20177 for Pediatrics Adolescent Medicine (2080A0000X) in Kentucky.
Mary Jane Lagrew, M.d., Llc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Mary Jane Lagrew, M.d., Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Mary Jane Lagrew, M.d., Llc |
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Business Address:
Mary Jane Lagrew, M.d., Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1780 Nicholasville Rd, Suite 203
Lexington, KY, 40503-1400
United States |
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| Phone Number : | 859-277-7920 |
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| Fax Number : | 859-278-9279 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1427203454 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 Nov, 2008 |
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| Last Updated On : | 18 Nov, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Maryj Lagrew |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 859-277-7920 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary Jane Lagrew, M.d., Llc are as mentioned. Primary taxonomy code for Mary Jane Lagrew, M.d., Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 20177 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Mary Jane Lagrew, M.d., Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 64201775 | MEDICAID | KY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1780 Nicholasville Rd, Suite 203
Lexington, KY, 40503-1400
United States |
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| Phone Number : | 859-277-7920 |
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| Fax Number : | 859-278-9279 |
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Business Location:
Patients can refer following map for directions to
Mary Jane Lagrew, M.d., Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.