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Jessica Anne Lauderdale, DO
Family Medicine Physician in Pontotoc, Mississippi
NPI 1093095523

Jessica Anne Lauderdale is a Family Medicine Physician based in Pontotoc, MS. Jessica Anne Lauderdale practices in Pontotoc, MS and has the professional credentials of DO. The NPI Number for Jessica Anne Lauderdale is 1093095523 and holds a License No. L2069591 (Mississippi).

The current practice location address for Jessica Anne Lauderdale is 11 E Jefferson St, Pontotoc, MS and can be reached out via phone at 662-489-6041.

Location: 11 E Jefferson St, Pontotoc, MS, 38863-2807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093095523
Provider Name
Jessica Anne Lauderdale
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
11 E Jefferson St, Pontotoc, MS, 38863-2807
Phone Number
662-489-6041
Fax Number
Provider Enumeration Date
08/29/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 E Jefferson St
City
Pontotoc
State
Mississippi
Zip
38863-2807
Phone Number
662-489-6041
Fax Number
person
Provider Business Mailing Address Details
Address
11 E Jefferson St
City
Pontotoc
State
Mississippi
Zip
38863-2807
Phone Number
662-489-6041
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
23832 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
L2069591 (Michigan)
Definition
Definition to come...
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