Organization
OUR LADY OF LOURDES HOSPITAL AT PASCO
Active
Other names
Lourdes Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SERLE (CEO)
(509) 543-2483
Entity
Organization
Contact information
Practice address
4215 CONVENTION PL, SUITE B, PASCO, WA 99301-8148
(509) 416-8849
Mailing address
4215 CONVENTION PL, SUITE B, PASCO, WA 99301-8148
(509) 416-8849
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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