Northside Pediatrics PC

NPI #1992724181 in Richmond, Virginia

Provider Information

NPI Number: 1992724181
Entity Type: Organization
Organization Name: Northside Pediatrics PC
Primary Specialty: Pediatrics
Enumeration Date: Jul 19, 2006
Last Updated: May 20, 2009

Practice Location

Address: 2008 BREMO RD
Address 2: SUITE 100
City: Richmond
State: Virginia
ZIP Code: 23226-2443
Phone: (804) 288-0814

Authorized Official

Name: DR. LAKEITA LYNNE SMITH, MD
Title: PHYSICIAN
Phone: (804) 432-4631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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