Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI # | 1063834943 |
| LBN Legal business name | LUCILE PACKARD CHILDRENS HOSPITAL |
| Authorized official | MELE TOA - (AUTHORIZATION COORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 01/13/2014 |
| Last updated | 01/13/2014 - About 12 years ago |
| Identifiers | n/a |
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