| NPI | 1487096517 |
|---|---|
| Doing Business As | ULP ADULT CARDIOTHORACIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | BECKY LAMB VP Of Contracting 502-588-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |