Lebanon Physicians for Women
Organization Active NPI Obstetrics & Gynecology Physician · Lebanon, KY
NPI 1215094792 · NPPES record last updated Jan 18, 2011
Key facts
- NPI
- 1215094792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- LEBANON PHYSICIANS FOR WOMEN
- Practice address
- 330 Loretto Rd Ste 500a
Lebanon, KY 40033-1308 - Phone
- (270) 699-2229
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Jennifer Vaughn
- Title
- Office Manager
- Phone
- (270) 699-2229
Practitioners 3
-
Mark A Ackermann, M.D.
-
Kara Travis Mudd, PA-C
-
Rebecca Anne Smith, MSN
National Provider Directory
Locations
330 N Loretto Rd
#500
Lebanon, KY 40033
Phone (270) 699-2229
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
330 Loretto Rd Ste 500a
Lebanon, KY 40033-1308
Mailing address
330 Loretto Rd Ste 500a
Lebanon, KY 40033-1308
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65932667 | Medicaid | KY |
Other providers in Lebanon, KY
- Lebanon Emergency Group LLC
- Lebanon Family Dental Care, PSC
- Lebanon Massage Therapeutics, Inc.
- Lebanon Pediatrics LLC
- Lebanon Pediatrics, LLC
- Lebanon Surgical Associates, P.S.C.
- Robert Lee
- Lincoln Trail District Health Department
- Kimberly Dean Lobb
- Dana Michelle Logsdon
All providers in Lebanon, KY · Obstetrics & Gynecology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.