Rising Sun Modern Medicine

NPI #1356883243 in Rising Sun, Indiana

Provider Information

NPI Number: 1356883243
Entity Type: Organization
Organization Name: Rising Sun Modern Medicine
Subpart: Yes (part of a larger organization)
Parent Organization: LAWRENCEBURG URGENT CARE
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Nov 9, 2016
Last Updated: Nov 9, 2016

Practice Location

Address: 120 N WALNUT ST
Address 2: SUITE A
City: Rising Sun
State: Indiana
ZIP Code: 47040-1276
Phone: (812) 438-1216

Authorized Official

Name: KATRINA R LOCK, APRN FNP-BC
Title: NURSE PRACTITIONER, MANAGER
Phone: (812) 221-0332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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