Lifeworks Aesthetic Center, Psc

NPI 1043372279 - Specialist - 174400000X

NPI Details
NPI 1043372279
Enumeration Date 12/14/2006
Last Updated 05/21/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PETER A PETER
Position PRESIDENT
Phone (270) 444-0119
Fax (270) 444-9129
Practice Location
242 BERGER RD
PADUCAH KY, 42003-4522, US
Phone (270) 444-0119
Fax (270) 444-9129
Business Location
242 BERGER RD
PADUCAH KY, 42003-4522, US
Phone (270) 444-0119
Fax (270) 444-9129
Toxanomy
Taxonomy Code 174400000X
License State Kentucky
License Number 15202
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According to our database, Lifeworks Aesthetic Center, Psc NPI is 1043372279, taxonomy code is 174400000X and license number is 15202, license state is located at Kentucky. Lifeworks Aesthetic Center, Psc physically located at 242 Berger Rd, Paducah KY, 42003-4522. NPI Number 1033115704 has the healthcare provider type.

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1043372279 NPI number is provided on an as is basis without warranty of any kind. 1043372279 is maintained by the National Plan & Provider Enumeration System. The contents of Lifeworks Aesthetic Center, Psc are for informational purposes only.