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Lauderdale Medical Group Pllc
Primary Care Clinic/Center in Pontotoc, Mississippi
NPI 1689456527

Lauderdale Medical Group Pllc is a Primary Care Clinic/Center based in Tupelo, MS and is specialized in Primary Care. Lauderdale Medical Group Pllc practices in Pontotoc, MS. The NPI Number for Lauderdale Medical Group Pllc is 1689456527 and holds a License No. (Mississippi).

The current practice location address for Lauderdale Medical Group Pllc is 11 E Jefferson St, Pontotoc, MS and can be reached out via phone at 662-419-1260.

Location: 11 E Jefferson St, Pontotoc, MS, 38801-7861
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689456527
Provider Name
Lauderdale Medical Group Pllc
Credential
Provider Entity Type
Organization
Address
11 E Jefferson St, Pontotoc, MS, 38801-7861
Phone Number
662-419-1260
Fax Number
Provider Enumeration Date
10/16/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
11 E Jefferson St
City
Pontotoc
State
Mississippi
Zip
38863-2807
Phone Number
662-419-1260
Fax Number
person
Provider Business Mailing Address Details
Address
11 E Jefferson St
City
Pontotoc
State
Mississippi
Zip
38863-2807
Phone Number
662-419-1260
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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