Organization
COMMONWEALTH HEALTH CORPORATION, INC
Active
Other names
MED CENTER HEALTH SURGICAL ONCOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE W LAWLESS (EXECUTIVE VICE PRESIDENT)
(270) 745-1500
Entity
Organization
Contact information
Practice address
350 PARK ST STE 106, BOWLING GREEN, KY 42101-1784
(270) 721-7265
(270) 745-1050
Mailing address
PO BOX 2697, BOWLING GREEN, KY 42102-7697
(270) 721-7265
(270) 745-1050
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
01/20/2025
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