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Lauderdale Medical Group PLLC — NPI 1689456527, Pontotoc, MS | NPI Central

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NPI 1689456527

OrganizationActive

Lauderdale Medical Group PLLC

NPI 1689456527 · Primary Care Clinic/Center · Pontotoc, MS

Provider details

NPI number: 1689456527
Entity type: Organization
Primary specialty: Primary Care Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Jessica Lauderdale, Owner(662) 489-6041

Specialties & taxonomies

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities

Practice location

11 E Jefferson St

Pontotoc, MS 38863-2807

Phone: (662) 419-1260

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

131 Emberwood Ct

Tupelo, MS 38801-7861

Other names (DBA / former)

Doing business as: Lauderdale Medical Group
Doing business as: Lauderdale Medical Group

Registry dates

Enumerated: 2023-10-16
Last updated: 2024-03-22
Certified: 2024-03-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.