Lebanon Pediatrics LLC

NPI #1063686509 in Lebanon, Kentucky

Provider Information

NPI Number: 1063686509
Entity Type: Organization
Organization Name: Lebanon Pediatrics LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LEBANON PEDIATRICS, LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Apr 16, 2008
Last Updated: Apr 16, 2008

Practice Location

Address: 311 W HIGH ST
City: Lebanon
State: Kentucky
ZIP Code: 40033-1427
Phone: (270) 692-5811

Authorized Official

Name: DR. DIANE S THOMAS, M.D.
Title: PRESIDENT
Phone: (270) 692-5811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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