Doctor Name: | DR. MEREDITH A LANDORF |
NPI Number: | 1386671410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 40371 |
Business Practice Address: | 2156 Chamber Center Dr Lakeside Park, KY - 410171669 |
Business Phone Number: | 8593416255 |
Business Fax Number: | 8595471197 |
Mailing Address: | 2156 Chamber Center Dr, LAKESIDE PARK |
State: | KY |
Postal Code: | 410171669 |
Phone Number: | 8593416255 |
Fax Number: | 8595471197 |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | 40371 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |