| NPI | 1164460812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MICHELE LIPPS Administrator 859-514-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-12-17 |