LAFAYETTE PEDIATRIC CLINIC is an adolescent medicine pediatrics in Oxford, MS. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. LAFAYETTE PEDIATRIC CLINIC NPI is 1144418609. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2166 S LAMAR BLVD
OXFORD, MS
ZIP 38655-224
Phone: (662) 236-3939
Fax: (662) 236-3924
The provider's authorized official is Tanya Jean Fitts .
The authorized official title is Owner and has the following contact phone number (662) 236-3939.
The CLIA number assigned to this NPI record is 25D1081010 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 10/10/2007 and was last updated on 3/17/2010.