Provider First Line Business Practice Location Address:
2019 CORPORATE DR
Provider Second Line Business Practice Location Address:
TOTAL LUNG CARE AND SLEEP CENTER
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40475-8884
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-623-8981
Provider Business Practice Location Address Fax Number:
859-624-3146
Provider Enumeration Date:
05/25/2007