NPI | 1679838189 |
---|---|
Doing Business As | PREFERRED PEDIATRICS OF LAFAYETTE |
Entity Type | Organization |
Authorized Contact | MARTHA MILLER Dir Of Billing 765-446-5417 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2012-07-10 |
Last Update Date | 2016-09-12 |