Organization
PREMIER PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAUREN KOSTELNIK DO (PHYSICIAN OWNER)
(859) 229-5198
Entity
Organization
Contact information
Practice address
2408 SIR BARTON WAY STE 125, LEXINGTON, KY 40509-8303
(859) 810-7337
Mailing address
1857 GOODPASTER WAY, LEXINGTON, KY 40505-9005
(859) 229-5198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/07/2022
Last updated
09/03/2022
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