Lourdes Medical Pavilion, LLC

NPI #1528058377 in Kuttawa, Kentucky

Provider Information

NPI Number: 1528058377
Entity Type: Organization
Organization Name: Lourdes Medical Pavilion, LLC
Primary Specialty: Family Medicine
Enumeration Date: Oct 24, 2005
Last Updated: Mar 16, 2010

Practice Location

Address: 97 LAKESHORE DR
City: Kuttawa
State: Kentucky
ZIP Code: 42055-6202
Phone: (270) 388-4357

Authorized Official

Name: MR. MARK THOMPSON
Title: CFO
Phone: (270) 444-2117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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