# LOUISVILLE LUNG CARE PLLC

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

## Provider details

- **NPI number:** 1841564291
- **Authorized official:** MOUTAZ AL-NABHAN MD (SOLE MBR)
- **Authorized official phone:** (918) 691-2223

## Contact information

- **Practice address:** 1015 DUPONT RD, LOUISVILLE, KY 40207-4610
- **Practice address phone:** (502) 883-0227
- **Practice address fax:** (502) 410-0484
- **Mailing address:** PO BOX 22225, LOUISVILLE, KY 40252-0225
- **Mailing address phone:** (918) 691-2223
- **Mailing address fax:** (502) 410-0484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 42043 | KY | Yes |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LA2100X | Acute Care Nurse Practitioner | 42043 | KY | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 03/24/2026