Organization
OUR LADY OF LOURDES HEALTH CENTER
Active
Other names
Lourdes Urology East
Organization subpart
No
Provider details
NPI number
Authorized official
ANA ZARAGOZA (PROVIDER ENROLLMENT COORDINATOR)
(509) 416-8849
Entity
Organization
Contact information
Practice address
507 N 5TH AVE, PASCO, WA 99301-5201
(509) 546-2300
(509) 546-2301
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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