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Organization

OUR LADY OF LOURDES HEALTH CENTER

Active
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Organization

OUR LADY OF LOURDES HEALTH CENTER

Active
Other names
LOURDES RIVERVIEW MEDICAL GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN SERLE (PRESIDENT & CEO)
(509) 543-2483
Entity
Organization

Contact information

Practice address
4403 W COURT ST, SUITE B, PASCO, WA 99301-2879
(509) 545-5358
Mailing address
4403 W COURT ST, SUITE B, PASCO, WA 99301-2879
(509) 545-6620
(509) 545-6842

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
113003371
WA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
113003371
WA
207VX0000X
Obstetrics Physician
113003371
WA

Other

Enumeration date
10/24/2006
Last updated
04/17/2009
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