| Doctor Name: | DR. LAUREL A TAIT |
| NPI Number: | 1831119676 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPM |
| License Number: | MO00556 |
| Business Practice Address: | 604 S Main St Water Valley, MS - 389653468 |
| Business Phone Number: | 6622367070 |
| Business Fax Number: | 6622367078 |
| Mailing Address: | 3880 Majestic Oaks Dr, OXFORD |
| State: | MS |
| Postal Code: | 386558143 |
| Phone Number: | 6622367070 |
| Fax Number: | 6622367078 |
| NPI Enumeration Date: | 07/21/2006 |
| NPI Last Update Date: | 09/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP1101X |
| License Number: | MO00556 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Primary Podiatric Medicine |
| Taxonomy Definition: | |