Organization
LIVELY PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN MITCHELL (OFFICE MANAGER)
(304) 952-2087
Entity
Organization
Contact information
Practice address
608 NEW HOPE RD STE 7, PRINCETON, WV 24740-2287
(304) 913-3160
(855) 618-2212
Mailing address
608 NEW HOPE RD STE 7, PRINCETON, WV 24740-2287
(304) 913-3160
(855) 618-2212
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/21/2021
Last updated
05/10/2021
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