| NPI | 1215521802 |
|---|---|
| Doing Business As | MED CENTER HEALTH SURGICAL ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHELE W LAWLESS Executive Vice President 270-745-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2022-12-09 |