Landen Lake Pediatrics

NPI 1023029444 - Clinic/Center - 261QP2300X

NPI Details
NPI 1023029444
Enumeration Date 08/10/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN JOHN
Position OWNER
Phone (513) 398-5960
Fax (513) 459-7833
Practice Location
4834 SOCIALVILLE FOSTER RD
MASON OH, 45040-6826, US
Phone (513) 398-5960
Fax (513) 459-7833
Business Location
4834 SOCIALVILLE FOSTER RD
MASON OH, 45040-6826, US
Phone (513) 398-5960
Fax (513) 459-7833
Toxanomy
Taxonomy Code 261QP2300X
License State Ohio
License Number =========
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According to our database, Landen Lake Pediatrics NPI is 1023029444, taxonomy code is 261QP2300X and license number is =========, license state is located at Ohio. Landen Lake Pediatrics physically located at 4834 Socialville Foster Rd, Mason OH, 45040-6826. NPI Number 1033115704 has the healthcare provider type.

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1023029444 NPI number is provided on an as is basis without warranty of any kind. 1023029444 is maintained by the National Plan & Provider Enumeration System. The contents of Landen Lake Pediatrics are for informational purposes only.