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Organization
CHILDREN FIRST KIDMED LLC
Active
Organization
CHILDREN FIRST KIDMED LLC
Active
Other names
Children First Kidmed
Organization subpart
No
Provider details
NPI number
Authorized official
PAT RANDOLPH LEE NP (PED NURSE PRACTITIONER)
(985) 419-2250
Entity
Organization
Contact information
Practice address
1828 W THOMAS ST, HAMMOND, LA 70401-2958
(985) 419-2250
(985) 419-2252
Mailing address
1828 W THOMAS ST, HAMMOND, LA 70401-2958
(985) 419-2250
(985) 419-2252
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP01814
LA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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