Our Lady of Lourdes Health Center

NPI #1649785569 in Pasco, Washington

Provider Information

NPI Number: 1649785569
Entity Type: Organization
Organization Name: Our Lady of Lourdes Health Center
Primary Specialty: Urology
Enumeration Date: Dec 14, 2017
Last Updated: Dec 14, 2017

Practice Location

Address: 507 N 5TH AVE
City: Pasco
State: Washington
ZIP Code: 99301-5201
Phone: (509) 546-2300

Authorized Official

Name: ANA ZARAGOZA
Title: PROVIDER ENROLLMENT COORDINATOR
Phone: (509) 416-8849

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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