| NPI | 1356519508 |
|---|---|
| Doing Business As | LOURDES PHYSICIAN SERVICES |
| Entity Type | Organization |
| Authorized Contact | ROBYN B. DUNCAN Credentialing Agent. 270-442-6161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2086S0129X Surgery Vascular Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2022-01-26 |