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Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Organization
COMMONWEALTH HEALTH CORPORATION, INC.
Active
Other names
MED CENTER HEALTH UROLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT & CFO)
(270) 745-1500
Entity
Organization
Contact information
Practice address
1100 BROOKHAVEN RD STE 103, FRANKLIN, KY 42134-2746
(270) 598-4878
(270) 598-4875
Mailing address
PO BOX 117914, ATLANTA, GA 30368-7914
(270) 598-4878
(270) 598-4875
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100708260
—
KY
05
—
7100962850
—
KY
Enumeration date
09/21/2020
Last updated
06/06/2026
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