Lourdes Medical Pavilion, LLC

NPI #1144215591 in Paducah, Kentucky

Provider Information

NPI Number
1144215591
Entity Type
Organization
Organization Name
Lourdes Medical Pavilion, LLC
Primary Specialty
Physiological Laboratory
Enumeration Date
Sep 13, 2005
Last Updated
Sep 21, 2007

Practice Location

Address
225 MEDICAL CENTER DR
ZIP Code
42003-7914
Phone
(270) 441-4100

Authorized Official

Name
MRS. BRENDA G DYCUS
Title
BILLING OFFICE MANAGER
Phone
(270) 441-4125

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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