Lebanon Pediatrics, LLC

NPI #1700969458 in Lebanon, Kentucky

Provider Information

NPI Number: 1700969458
Entity Type: Organization
Organization Name: Lebanon Pediatrics, LLC
Primary Specialty: Pediatrics
Enumeration Date: Oct 23, 2006
Last Updated: Dec 14, 2007

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: PROPRIETOR
Phone: (270) 692-5811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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