Organization
FOUR RIVERS INTERNAL MEDICINE, PLLC
Active
Other names
Drs Bassi and Lorch
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K FORD (OFFICE MANAGER)
(270) 444-8000
Entity
Organization
Contact information
Practice address
3131 PARISA DR, PADUCAH, KY 42003-4584
(270) 444-8000
(270) 444-8000
Mailing address
3131 PARISA DR, PADUCAH, KY 42003-4584
(270) 444-8000
(270) 444-8302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21063
KY
363LF0000X
Family Nurse Practitioner
5660P
KY
363LF0000X
Family Nurse Practitioner
6224S
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65904781
—
KY
Enumeration date
09/12/2005
Last updated
03/22/2013
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