Organization
GROWING KIDS PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA A LANE MD (OWNER)
(502) 802-5976
Entity
Organization
Contact information
Practice address
3707 CHARLESTOWN RD, SUITE C1, NEW ALBANY, IN 47150-9254
(502) 802-5976
Mailing address
3707 CHARLESTOWN RD, SUITE C1, NEW ALBANY, IN 47150-9254
(502) 802-5976
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
KY
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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