NPI 1144215591

Lourdes Medical Pavilion, LLC

Organisation Physiological Laboratory Paducah, KY

Practice location

Address: 225 Medical Center Dr, Paducah, KY 42003-7914
Phone: (270) 441-4100
Fax: (270) 441-4171

Authorised official

Name: Brenda G Dycus
Title: Billing Office Manager
Phone: (270) 441-4125

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 730026 (KY)

Other Physiological Laboratory providers in Kentucky →

Registry record

NPI: 1144215591
Entity type: Organization
NPI issued: 13 Sep 2005
Record last updated: 21 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.