TLC IMMUNIZATION CLINIC LLC

LOUISVILLE, KY
NPI1982620050
Entity TypeOrganization
Authorized ContactGRZYBOWSKI JOHN
Secretary Of Organization
502-301-7408
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
Enumeration Date2006-07-14
Last Update Date2020-08-22
Business Address
TLC IMMUNIZATION CLINIC LLC
9721 ORMSBY STATION RD STE 106
LOUISVILLE, KY 40223-4095
Phone number: 502-423-1103
Mailing Address
TLC IMMUNIZATION CLINIC LLC
9721 ORMSBY STATION RD STE 106
LOUISVILLE, KY 40223-4095
Phone number: 502-423-1103
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