Organization
LEBANON PHYSICIANS FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER VAUGHN (OFFICE MANAGER)
(270) 699-2229
Entity
Organization
Contact information
Practice address
330 LORETTO RD STE 500A, LEBANON, KY 40033-1308
(270) 699-2229
Mailing address
330 LORETTO RD STE 500A, LEBANON, KY 40033-1308
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65932667
—
KY
Enumeration date
01/03/2007
Last updated
01/18/2011
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