Organization · Type 2 NPI
Lauderdale Medical Group PLLC
Primary Care Clinic/Center · Pontotoc, MS
NPI number
1689456527
Active
Practice location
11 E Jefferson St
Pontotoc, MS 38863-2807
Mailing address
131 Emberwood Ct
Tupelo, MS 38801-7861
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Pontotoc
About NPI 1689456527
Lauderdale Medical Group PLLC's National Provider Identifier is 1689456527, issued on Oct 16, 2023. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Pontotoc, MS. The record was last updated on Mar 22, 2024.