| Lakeview Family Medical Clinic | |
|
65 Lakeview Dr Clinton MS 39056-5221 | |
| (601) 924-1744 | |
| (601) 924-7406 |
| Full Name | Lakeview Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 65 Lakeview Dr, Clinton, Mississippi |
| Authorized Official Name and Position | Kirby J Orme (OWNER) |
| Authorized Official Contact | 6019514048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Family Medical Clinic 123a Highway 80 E # 243 Clinton MS 39056-4738 Ph: (601) 951-4048 | Lakeview Family Medical Clinic 65 Lakeview Dr Clinton MS 39056-5221 Ph: (601) 924-1744 |
| NPI Number | 1154406270 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 06/05/2020 |
| Certification Date | 06/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154406270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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