Organization
LAKELAND PRIMARY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. T. EMILE LAGARDE M.D. (OWNER)
(601) 664-9299
Entity
Organization
Contact information
Practice address
1040 RIVER OAKS DR, FLOWOOD, MS 39232-9530
(601) 664-9299
(601) 664-9267
Mailing address
PO BOX 321016, FLOWOOD, MS 39232-1016
(601) 664-9299
(601) 664-9267
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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