Provider Demographics
NPI:1912339490
Name:LE BONHEUR PEDIATRICS LLC
Entity Type:Organization
Organization Name:LE BONHEUR PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MERI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-287-5952
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:DEPT # 488
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38148-0001
Mailing Address - Country:US
Mailing Address - Phone:901-531-6380
Mailing Address - Fax:901-531-6381
Practice Address - Street 1:51 N DUNLAP ST
Practice Address - Street 2:SUITE 410
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-4625
Practice Address - Country:US
Practice Address - Phone:901-531-6380
Practice Address - Fax:901-531-6381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty