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Organization

WAYNE T LAMAR MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAYNE TERRY LAMAR MD (PRESIDENT)
(662) 234-8432
Entity
Organization

Contact information

Practice address
2168 SOUTH LAMAR BLVD, OXFORD, MS 38655
(662) 234-8432
(662) 234-5267
Mailing address
2168 SOUTH LAMAR BLVD, OXFORD, MS 38655
(662) 234-8432
(662) 234-5267

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5285
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01152790
MS
01
3065
BLUE CROSS BLUE SHIELD
MS
01
CL1998
RAILROAD MEDICARE PIN
MS
Enumeration date
05/01/2008
Last updated
05/01/2008
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