Professional Pediatrics, Psc

NPI #1083819304 in Russell, Kentucky

Provider Information

NPI Number
1083819304
Entity Type
Organization
Organization Name
Professional Pediatrics, Psc
Primary Specialty
Pediatrics
Enumeration Date
Jun 18, 2007
Last Updated
Aug 6, 2012

Practice Location

Address
105 THOMPSON RD
ZIP Code
41169-1645
Phone
(606) 833-8480

Authorized Official

Name
DR. SUSAN M. LICHTENBERGER, MD
Title
PRESIDENT
Phone
(606) 833-8480

Specialties & Taxonomy Codes

Specialty
Pediatrics

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