Westport Village Pediatrics

NPI #1134373814 in Louisville, Kentucky

Provider Information

NPI Number: 1134373814
Entity Type: Organization
Organization Name: Westport Village Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Nov 8, 2008
Last Updated: Nov 8, 2008

Practice Location

Address: 8134 NEW LAGRANGE RD
Address 2: STE 100
City: Louisville
State: Kentucky
ZIP Code: 40222-4676
Phone: (502) 412-0597

Authorized Official

Name: DR. LESA SUTTON-DAVIS, MD
Title: OWNER
Phone: (502) 412-0597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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