Our Lady of Lourdes Health Center DBA Lourdes Ear Nose and Throat Asso

NPI #1083928709 in Pasco, Washington

Provider Information

NPI Number
1083928709
Entity Type
Organization
Organization Name
Our Lady of Lourdes Health Center DBA Lourdes Ear Nose and Throat Asso
Subpart
Yes (part of a larger organization)
Parent Organization
OUR LADY OF LOURDES HEALTH CENTER
Primary Specialty
Otolaryngology
Enumeration Date
Aug 5, 2010
Last Updated
Feb 4, 2011

Practice Location

Address
520 N 4TH AVE
City
Pasco
ZIP Code
99301-5257
Phone
(509) 547-7704

Authorized Official

Name
MR. JOHN SERLE
Title
CEO
Phone
(509) 547-7704

Specialties & Taxonomy Codes

Specialty
Otolaryngology

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