Jody Hannah Lack in Springfield - Pediatrics
Jody Hannah Lack - NPI 1235351818
Jody Hannah Lack is a Pediatrics in Springfield, Illinois. Jody Hannah Lack practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jody Hannah Lack is 1235351818. The last update date is 2011-01-13.
Jody Hannah Lack's current location address is Po Box 19676, Springfield, Illinois. You can contact this provider via phone number 2175450003 and fax number 2175457615. The mailing address for Jody Hannah Lack is Po Box 19676, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jody Hannah Lack |
|---|---|
| Address | Po Box 19676, Springfield, Illinois |
| Phone Number | 2175450003 |
| Fax Number | 2175457615 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235351818 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2011-01-13 |
Provider Mailing Address Detail
| Address | Po Box 19676 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949676 |
| Phone Number | 2175450003 |
| Fax Number | 2175457615 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 036-122811 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36122811 | IL | -- |
Post Comment/ Review Below
What is the Jody Hannah Lack's unique identification number?
The Jody Hannah Lack has been assigned the NPI (National Provider Identifier) Number 1235351818 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Jody Hannah Lack located?
The Jody Hannah Lack is located at Po Box 19676, Springfield, IL 627949676.
What is the Jody Hannah Lack's specialty and taxonomy code?
The Jody Hannah Lack's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
When did Jody Hannah Lack receive its 1235351818 assignment?
The Jody Hannah Lack was assigned its 1235351818 on 2007-05-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Jody Hannah Lack last refreshed?
The information related to the Jody Hannah Lack, including its address, specialty, and other relevant details, was last updated on 2011-01-13.
NPI Number: 1982607784
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