Lylan S. Park MD

NPI 1043243561 - Pediatrics - 208000000X

NPI Details
NPI 1043243561
Gender Female
Enumeration Date 07/08/2006
Last Updated 07/03/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
LAFAYETTE IN, 47904-2477, US
Phone (765) 448-8000
Business Location
PO BOX 5545
LAFAYETTE IN, 47903-5545, US
Phone (765) 448-8000
Taxonomy Code 208000000X
License State Illinois
License Number 036-099146
Remove 1043243561 NPI Number

According to our database, Dr. Lylan S. Park MD NPI is 1043243561, taxonomy code is 208000000X and license number is 036-099146, license state is located at Illinois. Lylan S. Park MD physically located at 2600 Greenbush St, Lafayette IN, 47904-2477. NPI Number Lylan S. Park MD has the Individual type.

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1043243561 NPI number is provided on an as is basis without warranty of any kind. 1043243561 is maintained by the National Plan & Provider Enumeration System. The contents of Lylan S. Park MD are for informational purposes only.