| NPI | 1659505840 |
|---|---|
| Doing Business As | LOURDES WEST PASCO |
| Entity Type | Organization |
| Authorized Contact | JOHN SERLE CEO 509-543-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 113003371) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA 113003371) |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-08-12 |