Organization
PEACE CHILDREN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUISA E LAWSON MD (OWNER)
(601) 713-3900
Entity
Organization
Contact information
Practice address
514H E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 713-3900
(601) 713-3970
Mailing address
514H E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 713-3900
(601) 713-3970
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14149
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02305351
—
MS
Enumeration date
11/08/2007
Last updated
11/08/2007
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