Pediatric Medical Clinic Inc in La Place - Adolescent Medicine
Pediatric Medical Clinic Inc - NPI 1043376007
Pediatric Medical Clinic Inc is a Adolescent Medicine in La Place, Louisiana. Pediatric Medical Clinic Inc practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Pediatric Medical Clinic Inc is 1043376007. The last update date is 2007-07-16.
Pediatric Medical Clinic Inc's current location address is 501 Rue De Sante, La Place, Louisiana. You can contact this provider via phone number 9856517444 and fax number 9856517449. The mailing address for Pediatric Medical Clinic Inc is 501 Rue De Sante, La Place, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Medical Clinic Inc |
|---|---|
| Address | 501 Rue De Sante, La Place, Louisiana |
| Phone Number | 9856517444 |
| Fax Number | 9856517449 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Lambert Roy Oliver |
| Credentials | MD |
| Telephone Number | 9856517444 |
NPI Number Detail
| NPI Number | 1043376007 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 501 Rue De Sante |
|---|---|
| City | La Place |
| State | Louisiana (LA) |
| Post Code | 700685400 |
| Phone Number | 9856517444 |
| Fax Number | 9856517449 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 15291 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1449369 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pediatric Medical Clinic Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Pediatric Medical Clinic Inc has been assigned the NPI (National Provider Identifier) 1043376007. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Pediatric Medical Clinic Inc's physical address?
The Pediatric Medical Clinic Inc is physically located at 501 Rue De Sante, in the city of La Place, LA, with the postal code 700685400.
What is Pediatric Medical Clinic Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pediatric Medical Clinic Inc's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.
On what date did the Pediatric Medical Clinic Inc receive the assignment of its 1043376007 from the Centers for Medicare & Medicaid Services?
The Pediatric Medical Clinic Inc was issued its 1043376007 by the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date were the details related to Pediatric Medical Clinic Inc most recently updated or revised?
The information pertaining to Pediatric Medical Clinic Inc, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-16.
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