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Christopher Lane Park, DO
Family Medicine Physician in Pontotoc, Mississippi
NPI 1710181078

Christopher Lane Park is a Family Medicine Physician based in Pontotoc, MS. Christopher Lane Park practices in Pontotoc, MS and has the professional credentials of DO. The NPI Number for Christopher Lane Park is 1710181078 and holds a License No. 19482 (Mississippi).

The current practice location address for Christopher Lane Park is 11 E Jefferson St, Pontotoc, MS and can be reached out via phone at 662-499-2802 and via fax at 866-939-1560.

Location: 11 E Jefferson St, Pontotoc, MS, 38863-7262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710181078
Provider Name
Christopher Lane Park
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
11 E Jefferson St, Pontotoc, MS, 38863-7262
Phone Number
662-499-2802
Fax Number
866-939-1560
Provider Enumeration Date
06/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06575065 05 MS
institution
Provider Business Practice Location Address Details
Address
11 E Jefferson St
City
Pontotoc
State
Mississippi
Zip
38863-2807
Phone Number
662-499-2802
Fax Number
866-939-1560
person
Provider Business Mailing Address Details
Address
11 E Jefferson St
City
Pontotoc
State
Mississippi
Zip
38863-2807
Phone Number
662-499-2802
Fax Number
866-939-1560
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
19482 (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.
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