Active NPI
Lara Clement, PLLC
- Family Medicine Physician
- Madison, MS
National Provider Identifier
1902501083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LARA CLEMENT, PLLC
- Practice address
- 1308 Highway 51
Madison, MS 39110-7205 - Phone
- (601) 853-4343
- NPI assigned
- Mar 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lara Teal Clement, MD
- Title
- Medical Doctor
- Phone
- (601) 415-2711
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1308 Highway 51
Madison, MS 39110-7205
Mailing address
710 Newitt Vick Dr
Vicksburg, MS 39183-8746
Phone (601) 415-2711
Other practice location 1
710 Newitt Vick Dr
Vicksburg, MS 39183-8746
Phone (601) 415-2711
Other practice location 2
49 Willow Creek Ln
Byram, MS 39272-9255
Phone (601) 863-4201
Other practice location 3
3701 Peter Quinn Dr
Jackson, MS 39213-3309
Phone (601) 366-1712
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680134400000",
"number": "1902501083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 NEWITT VICK DR",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391838746",
"telephone_number": "601-415-2711",
"fax_number": "844-579-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 HIGHWAY 51",
"city": "MADISON",
"state": "MS",
"postal_code": "391107205",
"telephone_number": "601-853-4343"
}
],
"practiceLocations": [
{
"address_1": "710 Newitt Vick Dr",
"address_purpose": "LOCATION",
"city": "Vicksburg",
"state": "MS",
"postal_code": "391838746",
"country_code": "US",
"telephone_number": "601-415-2711",
"fax_number": "844-579-0094",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "49 Willow Creek Ln",
"address_purpose": "LOCATION",
"city": "Byram",
"state": "MS",
"postal_code": "392729255",
"country_code": "US",
"telephone_number": "601-863-4201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3701 Peter Quinn Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MS",
"postal_code": "392133309",
"country_code": "US",
"telephone_number": "601-366-1712",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LARA CLEMENT, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-30",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A",
"authorized_official_last_name": "CLEMENT",
"authorized_official_first_name": "LARA",
"authorized_official_middle_name": "TEAL",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "601-415-2711",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.