Lifeworks Aesthetic Center, Psc in Paducah - Specialist
Lifeworks Aesthetic Center, Psc - NPI 1043372279
Lifeworks Aesthetic Center, Psc is a Specialist in Paducah, Kentucky. Lifeworks Aesthetic Center, Psc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lifeworks Aesthetic Center, Psc is 1043372279. The last update date is 2008-05-21.
Lifeworks Aesthetic Center, Psc's current location address is 242 Berger Rd, Paducah, Kentucky. You can contact this provider via phone number 2704440119 and fax number 2704449129. The mailing address for Lifeworks Aesthetic Center, Psc is 242 Berger Rd, Paducah, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifeworks Aesthetic Center, Psc |
|---|---|
| Address | 242 Berger Rd, Paducah, Kentucky |
| Phone Number | 2704440119 |
| Fax Number | 2704449129 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ward A Peter |
| Credentials | MD |
| Telephone Number | 2704440119 |
NPI Number Detail
| NPI Number | 1043372279 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 242 Berger Rd |
|---|---|
| City | Paducah |
| State | Kentucky (KY) |
| Post Code | 420034522 |
| Phone Number | 2704440119 |
| Fax Number | 2704449129 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 15202 |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64095334 | KY | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Lifeworks Aesthetic Center, Psc by the Centers for Medicare & Medicaid Services?
The Lifeworks Aesthetic Center, Psc has been issued the NPI (National Provider Identifier) 1043372279. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Lifeworks Aesthetic Center, Psc is geographically located?
The Lifeworks Aesthetic Center, Psc is physically situated at the following location: 242 Berger Rd, Paducah, KY, 420034522.
What is Lifeworks Aesthetic Center, Psc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lifeworks Aesthetic Center, Psc's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did Lifeworks Aesthetic Center, Psc receive its 1043372279 assignment from the Centers for Medicare & Medicaid Services?
The Lifeworks Aesthetic Center, Psc was assigned its 1043372279 on 2006-12-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lifeworks Aesthetic Center, Psc last refreshed?
The information related to the Lifeworks Aesthetic Center, Psc, including its address, specialty, and other relevant details, was last updated on 2008-05-21.