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LIFESPRING PEDIATRICS LLC NPI 1033157722


NPI Information

NPI: 1033157722
Provider Name: LIFESPRING PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 07D1054422

Address:
55 MERIDEN AVE
SUITE 3A
SOUTHINGTON, CT
ZIP 06489
Phone: (860) 426-9440
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LIFESPRING PEDIATRICS LLC is a pediatrics in Southington, CT. The provider is a pediatrician 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. LIFESPRING PEDIATRICS LLC NPI is 1033157722. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 MERIDEN AVE
SUITE 3A
SOUTHINGTON, CT
ZIP 06489-238
Phone: (860) 426-9440
Fax: (860) 426-9646

The provider's authorized official is Maureen Onyirimba .
The authorized official title is Owner and has the following contact phone number (860) 426-9440.

The CLIA number assigned to this NPI record is 07D1054422 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 10/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0205XPediatricsPediatric EndocrinologyNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101157RMEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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