Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cedar Lake Pediatric Clinic PLLC

Organization Pediatrics Physician · NPI 1497826044

Cedar Lake Pediatric Clinic PLLC provides Pediatrics Physician services in Biloxi, Mississippi. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1721 Medical Park Dr Ste 200
Biloxi, MS 39532-2105 Not confirmed with CMS for 19 years — call before visiting
Phone: (228) 248-2572
Fax: (228) 396-0687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1497826044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Haller — Owner · (228) 248-2572
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 12, 2007
Mailing addressPo Box 8873, Biloxi, MS 39535-8873

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