Organization
OUR LADY OF LOURDES HEALTH CENTER
Active
Other names
ANESTHESIA ALLIANCE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SERLE (PRESIDENT & CEO)
(509) 543-2483
Entity
Organization
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
(509) 543-2488
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 547-7704
(509) 543-2488
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
113003371000
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7096696
—
WA
01
—
CE8499
GROUP RR MEDICARE NUMBER
WA
01
—
GAB09491
PTAN
WA
Enumeration date
02/20/2007
Last updated
09/17/2008
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