| NPI | 1689456527 |
|---|---|
| Doing Business As | LAUDERDALE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JESSICA ANNE LAUDERDALE Owner 662-489-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2024-03-22 |