LIFEWORKS AESTHETIC CENTER PSC NPI 1043372279

NPI Information

LIFEWORKS AESTHETIC CENTER, PSC is a specialist in Paducah, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LIFEWORKS AESTHETIC CENTER, PSC NPI is 1043372279. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

242 BERGER RD
PADUCAH, KY
ZIP 42003-522
Phone: (270) 444-0119
Fax: (270) 444-9129

The provider's authorized official is Peter A Ward .
The authorized official title is President and has the following contact phone number (270) 444-0119.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 5/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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