| NPI | 1285802785 |
|---|---|
| Doing Business As | CHILDREN FIRST KIDMED |
| Entity Type | Organization |
| Authorized Contact | PAT RANDOLPH LEE Ped Nurse Practitioner 985-419-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA AP01814) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |