Organization
LOURDES MEDICAL PAVILION, LLC
Active
Other names
LYON COUNTY FAMILY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK THOMPSON (CFO)
(270) 444-2117
Entity
Organization
Contact information
Practice address
97 LAKESHORE DR, KUTTAWA, KY 42055-6202
(270) 388-4357
Mailing address
PO BOX 8329, PADUCAH, KY 42002-8329
(270) 441-4125
(270) 441-4171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28168
KY
Other
Enumeration date
10/24/2005
Last updated
03/16/2010
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