DR. MIKE AND FRIENDS PEDIATRICSP.C. NPI 1891126363

NPI Information

  • NPI: 1891126363
  • Provider Name: DR. MIKE AND FRIENDS PEDIATRICS,P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Former Legal Business Name: DR.MIKE AND FRIENDS PEDIATRICS
  • Address: 1925 THOMPSON RD
    COOS BAY, OR
    ZIP 97420
  • Phone: (541) 267-2020

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NPI Details

DR. MIKE AND FRIENDS PEDIATRICS,P.C. is a specialist in Coos Bay, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. MIKE AND FRIENDS PEDIATRICS,P.C. NPI is 1891126363. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dr.mike And Friends Pediatrics.

The provider's business location address is:

1925 THOMPSON RD
COOS BAY, OR
ZIP 97420-040
Phone: (541) 267-2020
Fax: (541) 267-0123

The provider's authorized official is Miguel Victor Lanza .
The authorized official title is President and has the following contact phone number (541) 267-2020.

The enumeration date for this NPI number is 12/9/2013 and was last updated on 12/9/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD24551OREGONYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11912209883MEDICAIDOREGON

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: 11/21/2025

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