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Lafayette Pediatric Clinic
Pediatric Adolescent Medicine Physician in Oxford, Mississippi
NPI 1144418609

Lafayette Pediatric Clinic is a Pediatric Adolescent Medicine Physician based in Oxford, MS and is specialized in Adolescent Medicine. Lafayette Pediatric Clinic practices in Oxford, MS. The NPI Number for Lafayette Pediatric Clinic is 1144418609 and holds a License No. 17111 (Mississippi).

The current practice location address for Lafayette Pediatric Clinic is 2166 S Lamar Blvd, Oxford, MS and can be reached out via phone at 662-236-3939 and via fax at 662-236-3924.

Location: 2166 S Lamar Blvd, Oxford, MS, 38655-5224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144418609
Provider Name
Lafayette Pediatric Clinic
Credential
Provider Entity Type
Organization
Address
2166 S Lamar Blvd, Oxford, MS, 38655-5224
Phone Number
662-236-3939
Fax Number
662-236-3924
Provider Enumeration Date
10/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00125498 05 MS
institution
Provider Business Practice Location Address Details
Address
2166 S Lamar Blvd
City
Oxford
State
Mississippi
Zip
38655-5224
Phone Number
662-236-3939
Fax Number
662-236-3924
person
Provider Business Mailing Address Details
Address
2166 S Lamar Blvd
City
Oxford
State
Mississippi
Zip
38655-5224
Phone Number
662-236-3939
Fax Number
662-236-3924
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
17111 (Mississippi)
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.
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