| NPI | 1700492220 |
|---|---|
| Doing Business As | MED CENTER HEALTH UROLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHELE LAWLESS Executive Vice President & CFO 270-745-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2024-04-12 |