Organization Active NPI

Lexlo, LLC

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1902241458
Registry record updated May 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23994 Issued in KY
Legal business name
LEXLO, LLC
Practice address
1055 Dove Run Rd
Suite 210
Lexington, KY 40502-3536
Phone
(678) 284-6300
Fax
(678) 284-6336
NPI assigned
May 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2013

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

Authorized official

Name
Ernest L Fletcher, MD
Title
Ceo/Physician
Phone
(678) 284-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 23994 KY Primary

Addresses

Primary practice location

1055 Dove Run Rd
Suite 210
Lexington, KY 40502-3536

Mailing address

1065 Jodeco Rd
Stockbridge, GA 30281-4953
Phone (678) 284-6300

National Provider Directory

National Provider Directory

Locations

1055 Dove Run Rd
Ste 210
Lexington, KY 40502
Phone (678) 284-6300

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368057600000",
    "number": "1902241458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 JODECO RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814953",
            "telephone_number": "678-284-6300",
            "fax_number": "678-284-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DOVE RUN RD",
            "address_2": "SUITE 210",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405023536",
            "telephone_number": "678-284-6300",
            "fax_number": "678-284-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXLO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-05-09",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "678-284-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "23994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.