Organization
LIFEWORKS AESTHETIC CENTER, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER A WARD MD (PRESIDENT)
(270) 444-0119
Entity
Organization
Contact information
Practice address
242 BERGER RD, PADUCAH, KY 42003-4522
(270) 444-0119
(270) 444-9129
Mailing address
242 BERGER RD, PADUCAH, KY 42003-4522
(270) 444-0119
(270) 444-9129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15202
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64095334
—
KY
Enumeration date
12/14/2006
Last updated
05/21/2008
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