Lauderdale Medical Group Pllc
NPI #1689456527 in Pontotoc, Mississippi
Provider Information
- NPI Number
- 1689456527
- Entity Type
- Organization
- Organization Name
- Lauderdale Medical Group Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 16, 2023
- Last Updated
- Mar 22, 2024
Practice Location
- Address
- 11 E JEFFERSON ST
- City
- Pontotoc
- State
- Mississippi
- ZIP Code
- 38863-2807
- Phone
- (662) 419-1260
Authorized Official
- Name
- DR. JESSICA ANNE LAUDERDALE, DO
- Title
- OWNER
- Phone
- (662) 489-6041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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