| NPI | 1821814757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LAZAROS Owner 502-235-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-26 |