Organization · Type 2 NPI

Ideal Pediatric and Adolescent Care

Clinic/Center · Lewisburg, PA

NPI number 1154879096 Active

Practice location

121 Jpm Rd
Lewisburg, PA 17837-9313

Call (570) 551-0300 Map

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XOS008495L (PA)

Clinic/Center: 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).

4 other providers at this address

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About NPI 1154879096

Ideal Pediatric and Adolescent Care's National Provider Identifier is 1154879096, issued on Sep 21, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lewisburg, PA. The record was last updated on Sep 21, 2016.