Fernandes, Lactancio

Fernandes, Lactancio is an individual health care provider with primary practice located at 1107 Earl Frye Blvd Ste 3 , Amory MS 38821-5519. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Fernandes, Lactancio can be contacted via phone (662) 256-9590.

Contact Information

Primary practice address
1107 Earl Frye Blvd Ste 3 Amory MS 38821-5519
Phone: (662) 256-9590
Fax: (662) 256-9599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14203 Mississippi
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 14203 Mississippi
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 14203 Mississippi
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 14203 Mississippi

Profile Details

NPI number 1942398409
LBN Legal business name Fernandes, Lactancio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Mar 4th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942398409 NPPES
Mississippi MEDICAID 01578334
Mississippi Other P00821834

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