Cedar Lake Pediatric Clinic Pllc in Biloxi - Pediatrics

Cedar Lake Pediatric Clinic Pllc - NPI 1497826044

Cedar Lake Pediatric Clinic Pllc is a Pediatrics in Biloxi, Mississippi. Cedar Lake Pediatric Clinic Pllc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Cedar Lake Pediatric Clinic Pllc is 1497826044. The last update date is 2007-07-12.

Cedar Lake Pediatric Clinic Pllc's current location address is Po Box 8873, Biloxi, Mississippi. You can contact this provider via phone number 2282482572 and fax number 2283960687. The mailing address for Cedar Lake Pediatric Clinic Pllc is Po Box 8873, Biloxi, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cedar Lake Pediatric Clinic Pllc
Address Po Box 8873, Biloxi, Mississippi
Phone Number 2282482572
Fax Number 2283960687
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Haller J Lisa
Credentials MD
Telephone Number 2282482572

NPI Number Detail

NPI Number 1497826044
Provider Enumeration Date 2006-11-13
Last Updated Date 2007-07-12

Provider Mailing Address Detail

Address Po Box 8873
City Biloxi
State Mississippi (MS)
Post Code 395358873
Phone Number 2282482572
Fax Number 2283960687

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9479561 MS --

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FAQs about Cedar Lake Pediatric Clinic Pllc

What is the unique identification code assigned to Cedar Lake Pediatric Clinic Pllc by the Centers for Medicare & Medicaid Services?

The Cedar Lake Pediatric Clinic Pllc has been issued the NPI (National Provider Identifier) 1497826044. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Cedar Lake Pediatric Clinic Pllc's physical address?

The Cedar Lake Pediatric Clinic Pllc is physically located at Po Box 8873, in the city of Biloxi, MS, with the postal code 395358873.

What is Cedar Lake Pediatric Clinic Pllc'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 Cedar Lake Pediatric Clinic Pllc is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1497826044 to Cedar Lake Pediatric Clinic Pllc?

The Cedar Lake Pediatric Clinic Pllc received its 1497826044 assignment from the Centers for Medicare & Medicaid Services on 2006-11-13.

When was the information regarding Cedar Lake Pediatric Clinic Pllc most recently updated?

The details pertaining to the Cedar Lake Pediatric Clinic Pllc, including its address, specialty, and other relevant information, were last refreshed on 2007-07-12.

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