Organization
OUR LADY OF LOURDES HEALTH CENTER DBA LOURDES EAR NOSE AND THROAT ASSO
Active
Parent organization
OUR LADY OF LOURDES HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF LOURDES HEALTH CENTER
Authorized official
MR. JOHN SERLE (CEO)
(509) 547-7704
Entity
Organization
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
Mailing address
1200 NORTH 14TH AVENUE, STE 220, PASCO, WA 99301
(509) 545-4800
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
113003371
WA
Other
Enumeration date
08/05/2010
Last updated
02/04/2011
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