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Ideal Pediatric And Adolescent Care
Clinic/Center in Lewisburg, Pennsylvania
NPI 1154879096

Ideal Pediatric And Adolescent Care is a Clinic/Center based in Lewisburg, PA. Ideal Pediatric And Adolescent Care practices in Lewisburg, PA. The NPI Number for Ideal Pediatric And Adolescent Care is 1154879096 and holds a License No. OS008495L (Pennsylvania).

The current practice location address for Ideal Pediatric And Adolescent Care is 121 Jpm Rd, Lewisburg, PA and can be reached out via phone at 570-551-0300. You can also correspond with Ideal Pediatric And Adolescent Care through the mailing address at 121 JPM RD, LEWISBURG, PA - 17837-9313 (mailing address contact number: 570-551-0300).

Location: 121 Jpm Rd, Lewisburg, PA, 17837-9313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154879096
Provider Name
Ideal Pediatric And Adolescent Care
Credential
Provider Entity Type
Organization
Address
121 Jpm Rd, Lewisburg, PA, 17837-9313
Phone Number
570-551-0300
Fax Number
Provider Enumeration Date
09/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
121 Jpm Rd
City
Lewisburg
State
Pennsylvania
Zip
17837-9313
Phone Number
570-551-0300
Fax Number
person
Provider Business Mailing Address Details
Address
121 Jpm Rd
City
Lewisburg
State
Pennsylvania
Zip
17837-9313
Phone Number
570-551-0300
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
OS008495L (Pennsylvania)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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