Organization
MEMORIAL HOSPITAL
Active
Organization
MEMORIAL HOSPITAL
Active
Other names
Manchester Orthopedic and Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC LUNDE (VICE PRESIDENT)
(606) 598-5104
Entity
Organization
Contact information
Practice address
120 MARIE LANGDON DR, SUITE 2, MANCHESTER, KY 40962-6352
(606) 598-4529
(606) 599-2529
Mailing address
509 MEMORIAL DR, SUITE 2, MANCHESTER, KY 40962-6195
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02508
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65934523
—
KY
Enumeration date
07/06/2007
Last updated
01/13/2021
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