Lisa D Fairchild MD

NPI 1033154794 - Pediatrics - 208000000X

NPI Details
NPI 1033154794
Gender Female
Enumeration Date 06/18/2006
Last Updated 07/29/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2100 HIGHWAY 61 N
VICKSBURG MS, 39183-8211, US
Phone (601) 883-5000
Fax
Business Location
2100 HIGHWAY 61 N
VICKSBURG MS, 39183-8211, US
Phone (601) 883-5000
Fax
Toxanomy
Taxonomy Code 208000000X
License State Mississippi
License Number 16733
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According to our database, Lisa D Fairchild MD NPI is 1033154794, taxonomy code is 208000000X and license number is 16733, license state is located at Mississippi. Lisa D Fairchild MD physically located at 2100 Highway 61 N, Vicksburg MS, 39183-8211. NPI Number Lisa D Fairchild MD has the Individual type.

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1033154794 NPI number is provided on an as is basis without warranty of any kind. 1033154794 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa D Fairchild MD are for informational purposes only.