Organization
LOUISVILLE LUNG CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUTAZ AL-NABHAN MD (SOLE MBR)
(918) 691-2223
Entity
Organization
Contact information
Practice address
1015 DUPONT RD, LOUISVILLE, KY 40207-4610
(502) 883-0227
(502) 410-0484
Mailing address
PO BOX 22225, LOUISVILLE, KY 40252-0225
(918) 691-2223
(502) 410-0484
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
42043
KY
363AM0700X
Medical Physician Assistant
—
—
363LA2100X
Acute Care Nurse Practitioner
Primary
42043
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100142140
—
KY
Enumeration date
03/02/2012
Last updated
03/24/2026
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