Lake County Pediatrics Llc

NPI 1265654099 - Pediatrics - 208000000X

NPI Details
NPI 1265654099
Enumeration Date 05/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CONSTANCIO B CONSTANCIO
Position PHYSICIAN PEDIATRICIAN
Phone (219) 736-9580
Fax (219) 736-9581
Practice Location
8500 BROADWAY
STE E
MERRILLVILLE IN, 46410, US
Phone (219) 736-9580
Fax (219) 736-9581
Business Location
8500 BROADWAY
STE E
MERRILLVILLE IN, 46410, US
Phone (219) 736-9580
Fax (219) 736-9581
Toxanomy
Taxonomy Code 208000000X
License State Indiana
License Number 01025495
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According to our database, Lake County Pediatrics Llc NPI is 1265654099, taxonomy code is 208000000X and license number is 01025495, license state is located at Indiana. Lake County Pediatrics Llc physically located at 8500 Broadway, Merrillville IN, 46410. NPI Number 1033115704 has the healthcare provider type.

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1265654099 NPI number is provided on an as is basis without warranty of any kind. 1265654099 is maintained by the National Plan & Provider Enumeration System. The contents of Lake County Pediatrics Llc are for informational purposes only.