Lakeland Surgical Clinic Pllc
NPI #1649499740 in Jackson, Mississippi
Provider Information
- NPI Number
- 1649499740
- Entity Type
- Organization
- Organization Name
- Lakeland Surgical Clinic Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Aug 24, 2011
Practice Location
- Address
- 971 LAKELAND DR STE 1460
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4621
- Phone
- (601) 982-3202
Authorized Official
- Name
- MRS. CATHY Y LOFTON
- Title
- OFFICE MANAGER
- Phone
- (601) 982-3202
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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