Organization
LAUDERDALE MEDICAL GROUP PLLC
Active
Other names
Lauderdale Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA ANNE LAUDERDALE DO (OWNER)
(662) 489-6041
Entity
Organization
Contact information
Practice address
11 E JEFFERSON ST, PONTOTOC, MS 38863-2807
(662) 419-1260
Mailing address
131 EMBERWOOD CT, TUPELO, MS 38801-7861
(662) 419-1260
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
03/22/2024
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