Lisa D Fairchild is a Pediatrics in Vicksburg, Mississippi. Lisa D Fairchild practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lisa D Fairchild is 1033154794. The last update date is 2020-09-10.
Lisa D Fairchild's current location address is 2100 Highway 61 N, Vicksburg, Mississippi. You can contact this provider via phone number 6018835000. The mailing address for Lisa D Fairchild is 2100 Highway 61 N, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa D Fairchild |
|---|---|
| Address | 2100 Highway 61 N, Vicksburg, Mississippi |
| Phone Number | 6018835000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033154794 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2020-09-10 |
Provider Mailing Address Detail
| Address | 2100 Highway 61 N |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391838211 |
| Phone Number | 6018835000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 16733 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1484041 | LA | -- | |
| 123219 | MS | -- | |
| 7004163 | MS | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lisa D Fairchild by the Centers for Medicare & Medicaid Services?
The Lisa D Fairchild has been issued the NPI (National Provider Identifier) 1033154794, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa D Fairchild is physically located?
The Lisa D Fairchild is situated at the following address: 2100 Highway 61 N, Vicksburg, MS 391838211.
What is the Lisa D Fairchild's area of specialization and corresponding taxonomy classification?
The Lisa D Fairchild's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1033154794 to Lisa D Fairchild?
The Centers for Medicare & Medicaid Services assigned the 1033154794 to Lisa D Fairchild on 2006-06-18.
When was the information related to Lisa D Fairchild most recently updated or refreshed?
The details pertaining to the Lisa D Fairchild, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-09-10.