Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lebanon Pediatrics LLC

Organization Nurse Practitioner · NPI 1063686509

Lebanon Pediatrics LLC is a Nurse Practitioner in Lebanon, Kentucky. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

311 W High St
Lebanon, KY 40033-1427
Phone: (270) 692-5811
Fax: (270) 692-3863
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1063686509
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLebanon Pediatrics, LLC
Authorized official Diane Thomas — President · (270) 692-5811
NPI enumeratedApril 16, 2008
Last updated in NPPESApril 16, 2008
Mailing address311 W High St, Lebanon, KY 40033-1427

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