# LIFEWORKS AESTHETIC CENTER, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043372279
- **Authorized official:** DR. PETER A WARD MD (PRESIDENT)
- **Authorized official phone:** (270) 444-0119

## Contact information

- **Practice address:** 242 BERGER RD, PADUCAH, KY 42003-4522
- **Practice address phone:** (270) 444-0119
- **Practice address fax:** (270) 444-9129
- **Mailing address:** 242 BERGER RD, PADUCAH, KY 42003-4522
- **Mailing address phone:** (270) 444-0119
- **Mailing address fax:** (270) 444-9129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 15202 | KY | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 05/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 64095334 | — | KY |