E Town Lung Specialist Psc
Clinic/Center, Medical Specialty in Elizabethtown, KY. Organization (NPI-2).
NPI number1790797702
StatusActive
Last updated in NPPESAug 11, 2025
Details
- NPI
- 1790797702
- Entity type
- Organization (NPI-2)
- Legal business name
- E Town Lung Specialist Psc
- Organization subpart
- No
- Enumeration date
- Aug 12, 2006
- Certification date
- Aug 11, 2025
- Last updated
- Aug 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – |
Practice location
914 N Dixie AveElizabethtown, KY 42701-2520
Phone 270-735-9066 · Fax 270-735-9036
Mailing address
914 N Dixie AveElizabethtown, KY 42701-2520
Phone 270-735-9066 · Fax 270-735-9036
Authorized official
Aijaz A Yazdani
Medical Doctor
2707359066
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