Lively Pediatrics, Pllc
Pediatrics
Lively Pediatrics, Pllc is a Princeton, West Virginia based Pediatric center with medical specialization in
General Pediatrics.
It is located at
608 New Hope Rd Ste 7, Princeton, West Virginia - 24740-2287. They can be contacted on phone at
304-913-3160 and fax number 855-618-2212.
NPI number (Unique professional ID) for Lively Pediatrics, Pllc is
1063006047 which was assigned by NPPES on 21 Feb, 2021 and it was last updated on 10 May, 2021.
Lively Pediatrics, Pllc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Lively Pediatrics, Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Lively Pediatrics, Pllc |
|---|
Business Address:
Lively Pediatrics, Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 608 New Hope Rd Ste 7
Princeton, WV, 24740-2287
United States |
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| Phone Number : | 304-913-3160 |
|---|
| Fax Number : | 855-618-2212 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1063006047 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 21 Feb, 2021 |
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| Last Updated On : | 10 May, 2021 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Ryan Mitchell |
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| Official Title or Position : | OFFICE MANAGER |
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| Phone Number : | 304-952-2087 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lively Pediatrics, Pllc are as mentioned. Primary taxonomy code for Lively Pediatrics, Pllc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 608 New Hope Rd Ste 7
Princeton, WV, 24740-2287
United States |
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| Phone Number : | 304-913-3160 |
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| Fax Number : | 855-618-2212 |
|---|
Business Location:
Patients can refer following map for directions to
Lively Pediatrics, Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.