Organization
RISING SUN MODERN MEDICINE
Active
Parent organization
LAWRENCEBURG URGENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAWRENCEBURG URGENT CARE
Authorized official
KATRINA R LOCK APRN FNP-BC (NURSE PRACTITIONER, MANAGER)
(812) 221-0332
Entity
Organization
Contact information
Practice address
120 N WALNUT ST, SUITE A, RISING SUN, IN 47040-1276
(812) 438-1216
(812) 438-1252
Mailing address
PO BOX 26, RISING SUN, IN 47040-0026
(812) 438-1216
(812) 438-1252
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
71004143A
IN
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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