| Lourdes Medical Pavilion, Llc | |
|
97 Lakeshore Dr Kuttawa KY 42055-6202 | |
| (270) 388-4357 | |
| Not Available |
| Full Name | Lourdes Medical Pavilion, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 97 Lakeshore Dr, Kuttawa, Kentucky |
| Authorized Official Name and Position | Mark Thompson (CFO) |
| Authorized Official Contact | 2704442117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lourdes Medical Pavilion, Llc Po Box 8329 Paducah KY 42002-8329 Ph: (270) 441-4125 | Lourdes Medical Pavilion, Llc 97 Lakeshore Dr Kuttawa KY 42055-6202 Ph: (270) 388-4357 |
| NPI Number | 1528058377 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 03/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528058377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28168 (Kentucky) | Primary |