Lafayette Pediatric Clinic
NPI #1144418609 in Oxford, Mississippi
Provider Information
- NPI Number
- 1144418609
- Entity Type
- Organization
- Organization Name
- Lafayette Pediatric Clinic
- Primary Specialty
- Pediatrics - Adolescent Medicine
- Enumeration Date
- Oct 10, 2007
- Last Updated
- Mar 17, 2010
Practice Location
- Address
- 2166 S LAMAR BLVD
- City
- Oxford
- State
- Mississippi
- ZIP Code
- 38655-5224
- Phone
- (662) 236-3939
Authorized Official
- Name
- TANYA JEAN FITTS, M.D.
- Title
- OWNER
- Phone
- (662) 236-3939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Adolescent Medicine — Adolescent Medicine |
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