CEDAR LAKE PEDIATRIC CLINIC PLLC

BILOXI, MS
NPI1497826044
Entity TypeOrganization
Authorized ContactLISA J HALLER
Owner
228-248-2572
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-11-13
Last Update Date2007-07-12
Business Address
CEDAR LAKE PEDIATRIC CLINIC PLLC
1721 MEDICAL PARK DR STE 200
BILOXI, MS 39532-2105
Phone number: 228-248-2572
Mailing Address
CEDAR LAKE PEDIATRIC CLINIC PLLC
PO BOX 8873
BILOXI, MS 39535-8873
Phone number: 228-248-2572