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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