Provider Demographics
NPI:1609699081
Name:LEXIA HEALTH
Entity type:Organization
Organization Name:LEXIA HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AVINASH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAVILLA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:973-400-9564
Mailing Address - Street 1:58 JUNIPER TER
Mailing Address - Street 2:
Mailing Address - City:TUXEDO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:10987-4769
Mailing Address - Country:US
Mailing Address - Phone:973-400-9564
Mailing Address - Fax:
Practice Address - Street 1:2119 E NORRIS ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-1924
Practice Address - Country:US
Practice Address - Phone:973-400-9564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-05
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty