Pediatric & Adolescent Medicine P.a.

NPI #1790782134 in Lawrence, Kansas

Provider Information

NPI Number: 1790782134
Entity Type: Organization
Organization Name: Pediatric & Adolescent Medicine P.a.
Primary Specialty: Pediatrics
Enumeration Date: Jun 30, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 1803 W 6TH ST
City: Lawrence
State: Kansas
ZIP Code: 66044-1710
Phone: (785) 842-4477

Authorized Official

Name: LUCAS DANIEL HOUK
Title: CHIEF ADMINISTRATIVE OFFICER
Phone: (785) 842-4477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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