Ideal Pediatric and Adolescent Care
Ideal Pediatric and Adolescent Care is a Clinic/Center in Lewisburg, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.
- Licensed in
- PA
- In the registry since
- 2016
Practice location Address checks out
121 Jpm RdLewisburg, PA 17837-9313
Phone: (570) 551-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence OS008495L (PA) |
|---|
Record details
| NPI number | 1154879096 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mary Beth O'Hara — President · (570) 551-0300 |
| NPI enumerated | September 21, 2016 |
| Last updated in NPPES | September 21, 2016 |
| Mailing address | 121 Jpm Rd, Lewisburg, PA 17837-9313 |
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