Lee W Ricketts Ii Md Pllc

LBN: Lee W Ricketts Ii Md Pllc
Lee W Ricketts Ii Md Pllc is an health care organization with primary practice located at 1782 Bryan Station Road , Lexington KY 40505. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Lee W Ricketts Ii Md Pllc can be contacted via phone (859) 294-0077, or through Ricketts, Lee W via phone (859) 294-0077.

Contact Information

Primary practice address
1782 Bryan Station Road Lexington KY 40505
Phone: (859) 294-0077
Fax: (859) 294-0078
Website:
Map and Directions
Authorized official contact:
Name: Ricketts, Lee W Doctor of Medicine (MD)
Phone: (859) 294-0077

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 30881 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30881 Kentucky

Profile Details

NPI number 1306020979
LBN Legal business name Lee W Ricketts Ii Md Pllc
DBA Doing business as
Authorized official Ricketts, Lee W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Dec 19th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306020979 NPPES
Kentucky Other 000000308817 ANTHEM
Kentucky Other 0791601 ANTHEM
Kentucky MEDICAID 64308810 ANTHEM

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