# LOURDES MEDICAL PAVILION, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LYON COUNTY FAMILY CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528058377
- **Authorized official:** MR. MARK THOMPSON (CFO)
- **Authorized official phone:** (270) 444-2117

## Contact information

- **Practice address:** 97 LAKESHORE DR, KUTTAWA, KY 42055-6202
- **Practice address phone:** (270) 388-4357
- **Mailing address:** PO BOX 8329, PADUCAH, KY 42002-8329
- **Mailing address phone:** (270) 441-4125
- **Mailing address fax:** (270) 441-4171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28168 | KY | Yes |

## Other

- **Enumeration date:** 10/24/2005
- **Last updated:** 03/16/2010