OrganizationActive
Lexington County Health Services District, Inc.
NPI 1861418329 · Pediatric Adolescent Medicine Physician · Lexington, SC
Provider details
- NPI number
- 1861418329
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lexington County Health Services District, Inc.
- Organization subpart
- Yes
- Authorized official
- Melinda Kruzner, Executive Vice President(803) 791-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
811 West Main Street
Ste 204
Lexington, SC 29072
Phone: (803) 359-8855
Fax: (803) 359-1257
Approximate (ZIP-level) locationGet directions
Mailing address
470 Hulon Ln
West Columbia, SC 29169
Other names (DBA / former)
- Doing business as
- Lexington Pediatric Practice
- Doing business as
- Lexington Pediatric Practice
Additional practice locations (1)
- 3240 Sunset BlvdWest Columbia, SC 29169-3428Phone: (803) 359-8855Fax: (803) 794-6480
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2020-06-25
- Certified
- 2020-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.