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CEDAR LAKE PEDIATRIC CLINIC PLLC
NPI 1497826044
Pediatrics in Biloxi, MS

Active since November 13, 2006
1721 MEDICAL PARK DR STE 200, BILOXI, MS 39532(228) 248-2572(228) 396-0687 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cedar Lake Pediatric Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDAR LAKE PEDIATRIC CLINIC PLLC (NPI 1497826044) is a healthcare organization registered as a pediatrics in Biloxi, Mississippi and active in the NPI registry since November 2006. The organization lists Lisa J Haller, Owner, as its authorized official.

NPPES Registry Identity

NPI1497826044
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCEDAR LAKE PEDIATRIC CLINIC PLLC
Location Address1721 MEDICAL PARK DR STE 200Biloxi, MS 39532-2105
Mailing AddressPo Box 8873Biloxi, MS 39535-8873 · (228) 248-2572 · Fax (228) 396-0687
Phone(228) 248-2572
Fax(228) 396-0687
Organization SubpartNo
Authorized OfficialLisa J HallerOwner · (228) 248-2572
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1497826044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1721 MEDICAL PARK DR STE 200, Biloxi, MS 39532
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Other Identifiers 2

Medicare ID-Type UnspecifiedC03428MS · Group Mcare Number
Medicaid09479561MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA STARKS LANIER APRN
Nurse Practitioner
1721 MEDICAL PARK DR STE 200
BILOXI, MS 39532
Harrison County (228) 392-7429
MRS. ELLIE REBECCA ANDERSON
Physician Assistant
1721 MEDICAL PARK DR STE 200
BILOXI, MS 39532
Harrison County (228) 392-7429
ELISABETH JONES HALLER MD
Pediatrics
1721 MEDICAL PARK DR STE 200
BILOXI, MS 39532
Harrison County (228) 248-2572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedar Lake Pediatric Clinic PLLC's NPI number?

The NPI number for Cedar Lake Pediatric Clinic PLLC is 1497826044. It was assigned to this organization in the NPPES registry on November 13, 2006.

Where is Cedar Lake Pediatric Clinic PLLC located?

Cedar Lake Pediatric Clinic PLLC is located at 1721 Medical Park Dr Ste 200, Biloxi, MS 39532. The listed phone number is (228) 248-2572.

What is Cedar Lake Pediatric Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Cedar Lake Pediatric Clinic PLLC was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.