National Provider Identifier Database

E TOWN LUNG SPECIALIST PSC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

E TOWN LUNG SPECIALIST PSC
914 N DIXIE AVE
ELIZABETHTOWN, KY42701-2520
Phone: 270-735-9066
Fax: 270-735-9036
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X
Pulmonary Disease 207RP1001X

* Indicates primary specialty

NPI Profile & details for E TOWN LUNG SPECIALIST PSC

NPI Number 1790797702
Legal business name
LBN
E TOWN LUNG SPECIALIST PSC
Authorized official AIJAZ YAZDANI - (MEDICAL DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 08/12/2006
Last updated 08/11/2025 - About 10 months ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 64328784
  • Other: 290014995 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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