Lefleur Family Medical Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LEFLEUR FAMILY MEDICAL CLINIC

Practice address

1420 Old Square Rd
Jackson, MS 39211-5523

Phone

(601) 713-1145

NPI assigned

Apr 16, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Roger Collins, MD

Title

Owner

Phone

(601) 713-1145

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334534400000",
    "number": "1821355801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 OLD SQUARE RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115523",
            "telephone_number": "601-713-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 OLD SQUARE RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115523",
            "telephone_number": "601-713-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEFLEUR FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-713-1145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tylan Lee
• Vickie Aletta Lee, MSN, NP
• Zina Darcel Lee, M.D.
• Lefleur Dental Group
• Lefleur Emergency Physicians
• Legacy 4 Change
• Ashley Lishman Legate, M.S. CF- SLP
• Davey Paul Legendre, PHARM.D.
• Legends Enterprise LLC
• Stacy Lynn Leggett, LPC

• Clinic/Center in Jackson, MS
• Providers in Jackson, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.