Cedar Lake Pediatric Clinic Pllc
Pediatrics
Cedar Lake Pediatric Clinic Pllc is a Biloxi, Mississippi based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1721 Medical Park Dr Ste 200, Biloxi, Mississippi - 39532-2105. They can be contacted on phone at
228-248-2572 and fax number 228-396-0687.
NPI number (Unique professional ID) for Cedar Lake Pediatric Clinic Pllc is
1497826044 which was assigned by NPPES on 13 Nov, 2006 and it was last updated on 12 Jul, 2007.
Cedar Lake Pediatric Clinic Pllc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Cedar Lake Pediatric Clinic Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Cedar Lake Pediatric Clinic Pllc |
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Business Address:
Cedar Lake Pediatric Clinic Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1721 Medical Park Dr Ste 200
Biloxi, MS, 39532-2105
United States |
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| Phone Number : | 228-248-2572 |
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| Fax Number : | 228-396-0687 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1497826044 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 13 Nov, 2006 |
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| Last Updated On : | 12 Jul, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Lisaj Haller |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 228-248-2572 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cedar Lake Pediatric Clinic Pllc are as mentioned. Primary taxonomy code for Cedar Lake Pediatric Clinic Pllc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Cedar Lake Pediatric Clinic Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 09479561 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 8873
Biloxi, MS, 39535-8873
United States |
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| Phone Number : | 228-248-2572 |
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| Fax Number : | 228-396-0687 |
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Business Location:
Patients can refer following map for directions to
Cedar Lake Pediatric Clinic Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.