Organization
AUBURN PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA DEMARCO M.D. (PRESIDENT/OWNER)
(260) 925-3500
Entity
Organization
Contact information
Practice address
1314 E 7TH ST, SUITE 204, AUBURN, IN 46706-2535
(260) 925-3500
(260) 925-3195
Mailing address
1314 E 7TH ST, SUITE 204, AUBURN, IN 46706-2535
(260) 925-3500
(260) 925-3195
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50004526
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278359
ANTHEM BCBS
IN
05
—
2588678
—
OH
Enumeration date
11/14/2005
Last updated
08/22/2020
Update your record
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