Lee W Ricketts II MD Pllc

NPI #1306020979 in Lexington, Kentucky

Provider Information

NPI Number: 1306020979
Entity Type: Organization
Organization Name: Lee W Ricketts II MD Pllc
Primary Specialty: Internal Medicine
Enumeration Date: Dec 19, 2007
Last Updated: Dec 19, 2007

Practice Location

Address: 1782 BRYAN STATION ROAD
City: Lexington
State: Kentucky
ZIP Code: 40505
Phone: (859) 294-0077

Authorized Official

Name: MR. LEE W RICKETTS II, MD
Title: PHYSICIAN OWNER
Phone: (859) 294-0077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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