NPI 1700863230 · live from the CMS NPI Registry
Dana J Distler, M.D.
Pediatrics, Adolescent Medicine in Louisville, KY. National Provider Identifier 1700863230, active.
NPI record
| NPI | 1700863230 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 301 Middletown Park Pl, Suite C, Louisville, KY 40243 |
| Practice phone | 502-244-9858 |
| Enumerated | December 27, 2005 |
| Last updated | March 12, 2014 |
| Sole proprietor | No |
| Other names | Dana Lyons |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 28883 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.