Organization
OUR LADY OF LOURDES HEALTH CENTER
Active
Other names
LOURDES PULMONARY SERVICES
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, 1ST FLOOR, PASCO, WA 99301-5257
(509) 546-2231
(509) 543-2488
Mailing address
520 N 4TH AVE, 1ST FLOOR, PASCO, WA 99301-5257
(509) 546-2231
(509) 543-2488
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
113003371
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7081326
—
WA
Enumeration date
01/23/2007
Last updated
10/18/2012
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