| NPI | 1851980379 |
|---|---|
| Doing Business As | LUCEDALE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JENNIFER FAILS Owner 601-953-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |