Lafayette Pediatric Clinic
Pediatric Adolescent Medicine
Lafayette Pediatric Clinic is a Oxford, Mississippi based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
2166 S Lamar Blvd, Oxford, Mississippi - 38655-5224. They can be contacted on phone at
662-236-3939 and fax number 662-236-3924.
NPI number (Unique professional ID) for Lafayette Pediatric Clinic is
1144418609 which was assigned by NPPES on 10 Oct, 2007 and it was last updated on 17 Mar, 2010.
Lafayette Pediatric Clinic license number is
17111 for Pediatrics Adolescent Medicine (2080A0000X) in Mississippi.
Lafayette Pediatric Clinic 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.
Complete Profile:
Lafayette Pediatric Clinic basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Lafayette Pediatric Clinic |
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Business Address:
Lafayette Pediatric Clinic 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 : | 2166 S Lamar Blvd
Oxford, MS, 38655-5224
United States |
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| Phone Number : | 662-236-3939 |
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| Fax Number : | 662-236-3924 |
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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 : | 1144418609 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 10 Oct, 2007 |
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| Last Updated On : | 17 Mar, 2010 |
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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 : | Tanyajean Fitts |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 662-236-3939 |
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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 Lafayette Pediatric Clinic are as mentioned. Primary taxonomy code for Lafayette Pediatric Clinic is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 17111 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Lafayette Pediatric Clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00125498 | 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 : | 2166 S Lamar Blvd
Oxford, MS, 38655-5224
United States |
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| Phone Number : | 662-236-3939 |
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| Fax Number : | 662-236-3924 |
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Business Location:
Patients can refer following map for directions to
Lafayette Pediatric Clinic practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.