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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