Organization
LOURDES MEDICAL PAVILION, LLC
Active
Other names
Paducah Diagnostic Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA G DYCUS (BILLING OFFICE MANAGER)
(270) 441-4125
Entity
Organization
Contact information
Practice address
225 MEDICAL CENTER DR, PADUCAH, KY 42003-7914
(270) 441-4100
(270) 441-4171
Mailing address
225 MEDICAL CENTER DR, PADUCAH, KY 42003-7914
(270) 441-4100
(270) 441-4171
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
730026
KY
Other
Enumeration date
09/13/2005
Last updated
09/21/2007
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