Organization
OUR LADY OF LOURDES HEALTH CENTER
Active
Other names
Lourdes Surgical Assoicates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SERLE (CEO)
(509) 547-7704
Entity
Organization
Contact information
Practice address
1200 N 14TH AVE, SUITE 400, PASCO, WA 99301-4182
(509) 547-0027
Mailing address
1200 N 14TH AVE, SUITE 400, PASCO, WA 99301-4182
(509) 547-0027
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
113003371
WA
Other
Enumeration date
10/28/2010
Last updated
01/03/2011
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