Christopher Lane Park in Pontotoc - Family Medicine
Christopher Lane Park - NPI 1710181078
Christopher Lane Park is a Family Medicine in Pontotoc, Mississippi. Christopher Lane Park practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Christopher Lane Park is 1710181078. The last update date is 2022-03-04.
Christopher Lane Park's current location address is 11 E Jefferson St, Pontotoc, Mississippi. You can contact this provider via phone number 6624992802 and fax number 8669391560. The mailing address for Christopher Lane Park is 11 E Jefferson St, Pontotoc, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Lane Park |
|---|---|
| Address | 11 E Jefferson St, Pontotoc, Mississippi |
| Phone Number | 6624992802 |
| Fax Number | 8669391560 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1710181078 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2022-03-04 |
Provider Mailing Address Detail
| Address | 11 E Jefferson St |
|---|---|
| City | Pontotoc |
| State | Mississippi (MS) |
| Post Code | 388632807 |
| Phone Number | 6624992802 |
| Fax Number | 8669391560 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 19482 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6575065 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Christopher Lane Park by the Centers for Medicare & Medicaid Services?
The Christopher Lane Park has been assigned the NPI (National Provider Identifier) 1710181078. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Christopher Lane Park is located?
The Christopher Lane Park is situated at the following address: 11 E Jefferson St, Pontotoc, MS, 388632807.
What is Christopher Lane Park's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Christopher Lane Park is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.
On what date did Christopher Lane Park receive its 1710181078 assignment from the Centers for Medicare & Medicaid Services?
The Christopher Lane Park was assigned its 1710181078 on 2007-06-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Christopher Lane Park, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Christopher Lane Park, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-03-04.
NPI Number: 1053314252
Address: 10220 Prairie Ridge Blvd, Pleasant Prairie, WI
NPI Number: 1720081912
Address: 111 Edgartown Rd, Vineyard Haven, MA