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Contact Information

LACTANCIO FERNANDES, MD
1107 EARL FRYE BLVD STE 3
AMORY, MS38821-5519
 Phone: 662-256-9590
 Fax: 662-256-9599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LACTANCIO FERNANDES · (Male)

NPI # 1942398409
Status Active
Credentials MD
Entity Individual
Enumeration date 10/10/2006
Last updated 03/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 14203
  • MS Medicaid 01578334
  • MS Other P00821834 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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