Organization · Type 2 NPI
Stanford Clinic LLC
General Practice Physician · Lucedale, MS
NPI number
1225979826
Active
Practice location
5192 Main St
Lucedale, MS 39452-6771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1225979826
Stanford Clinic LLC's National Provider Identifier is 1225979826, issued on Apr 6, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Lucedale, MS. The record was last updated on Apr 6, 2026.