OrganizationActive
Lebanon Pediatrics, LLC
NPI 1700969458 · Pediatrics Physician · Lebanon, KY
Provider details
- NPI number
- 1700969458
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diane Thomas, Proprietor(270) 692-5811
- License
- 32504 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
311 W High St
Lebanon, KY 40033-1427
Phone: (270) 692-5811
Fax: (270) 692-3863
Street-level locationGet directions
Mailing address
311 West High Street
Lebanon, KY 40033
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2007-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.