Legacy Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEGACY HEALTHCARE, LLC

Practice address

2407 Ring Rd Ste 104
Elizabethtown, KY 42701-5938

Phone

(270) 766-1902

Fax

(270) 737-7654

NPI assigned

Oct 22, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dana M Burrell

Title

Owner

Phone

(270) 766-1902

Specialties & licenses 1

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1558025908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 RING RD STE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015938",
            "telephone_number": "270-766-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 RING RD STE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015938",
            "telephone_number": "270-766-1902",
            "fax_number": "270-737-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-766-1902"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "legacyhealthky@aol.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2407 Ring Rd Ste 104",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427015938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beverly J Lee
• Doreen Lee, L.P.T.
• Michael Jason Lee
• William Henry Lee Jr., DMD
• Youjin Lee, DMD
• Ronald Allan Lemasters, BEHAVIORAL SUPPORT
• Christopher G Leonard
• Nick Lepora, DO
• Guy Lerner, MD
• Judith L. Lesher, CCC-SLP

• Family Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.