Lisa D Fairchild, MD

NPI #1033154794 in Vicksburg, Mississippi

Provider Information

NPI Number: 1033154794
Entity Type: Individual
Name: Lisa D Fairchild, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jun 18, 2006
Last Updated: Sep 10, 2020

Practice Location

Address: 2100 HIGHWAY 61 N
City: Vicksburg
State: Mississippi
ZIP Code: 39183-8211
Phone: (601) 883-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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