Heart To Heart Pediatric Cardiology Pllc

NPI 1093195869 - Pediatrics - 2080P0202X

NPI Details
NPI 1093195869
Enumeration Date 06/05/2015
Last Updated 07/16/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name LISA R. LISA
Position OWNER
Phone (502) 425-5614
Fax (502) 425-5633
Practice Location
3801 SPRINGHURST BLVD STE 104
LOUISVILLE KY, 40241-6137, US
Phone (502) 425-5614
Fax (502) 425-5633
Business Location
1111 BALMORAL DR
LOUISVILLE KY, 40205-3331, US
Phone (502) 425-5614
Fax (502) 425-5633
Toxanomy
Taxonomy Code 2080P0202X
License State
License Number
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According to our database, Heart To Heart Pediatric Cardiology Pllc NPI is 1093195869, taxonomy code is 2080P0202X Heart To Heart Pediatric Cardiology Pllc physically located at 3801 Springhurst Blvd Ste 104, Louisville KY, 40241-6137. NPI Number 1033115704 has the healthcare provider type.

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1093195869 NPI number is provided on an as is basis without warranty of any kind. 1093195869 is maintained by the National Plan & Provider Enumeration System. The contents of Heart To Heart Pediatric Cardiology Pllc are for informational purposes only.