Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lia Back, PA

Individual provider Physician Assistant · NPI 1669486197

Lia Back, PA is a Physician Assistant in Lexington, Kentucky. Qualified in 1998, 28 years ago. Practices with Concord Medical Group of Kentucky PLLC, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
28
Licensed in
KY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1221 S Broadway
Lexington, KY 40504-2701
Phone: (859) 258-4000
Fax: (859) 258-6203
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 145 Citizens Ln, Hazard, KY 41701-1320 — (606) 439-1300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA435 (KY)

Record details

NPI number1669486197
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESMay 24, 2023
Certification dateMay 24, 2023
Mailing address1221 S Broadway, Lexington, KY 40504-2701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Concord Medical Group Of Kentucky Pllc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lexington