Ma Tessa Lolita Diaz Layugan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

401 Southcrest Cir
#104
Southaven, MS 38671-6726

Phone

(662) 536-3201

Fax

(662) 536-3210

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1942400882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR",
            "address_2": "#104",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716726",
            "telephone_number": "662-536-3201",
            "fax_number": "662-536-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTHCREST CIR",
            "address_2": "#104",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716726",
            "telephone_number": "662-536-3201",
            "fax_number": "662-536-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYUGAN",
        "first_name": "MA TESSA",
        "middle_name": "LOLITA DIAZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Keith Lambert, CRNA
• Landmark Internal Medicine
• Jane Heather Larkin, OTR/L
• Crystal Lawrence, COTA/L
• Valerie Layne, RD, LD
• Learning to Live Again
• Stephanie Amber Ledbetter, OTR/L, MOT
• Lee Grimm, M.D., P.C.
• Daniel Lee, MD
• Markarius Lee

• Specialist in Southaven, MS
• Providers in Southaven, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.