Organization
WOMEN & CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LITA F. SISON (OFFICE MANAGER)
(812) 234-8117
Entity
Organization
Contact information
Practice address
3464 S 4TH ST, TERRE HAUTE, IN 47802-4168
(812) 234-8117
(812) 234-1894
Mailing address
3464 S 4TH ST, TERRE HAUTE, IN 47802-4168
(812) 234-8117
(812) 234-1894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01032364A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100251730
—
IN
Enumeration date
10/23/2006
Last updated
12/05/2011
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