Organization
LOUISVILLE VASCULAR CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MCNAMARA (EXECUTIVE VICE PRESIDENT)
(239) 597-2010
Entity
Organization
Contact information
Practice address
645 S ROY WILKINS AVE, LOUISVILLE, KY 40203-2072
(502) 208-1036
Mailing address
9140 CORSEA DEL FONTANA WAY, NAPLES, FL 34109-4397
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
02/21/2014
Last updated
03/01/2023
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