Provider Demographics
NPI:1093109316
Name:LAY, JUSTIN M (DO)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:M
Last Name:LAY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:161 MONTGOMERY ST STE D
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-1118
Mailing Address - Country:US
Mailing Address - Phone:769-300-5220
Mailing Address - Fax:601-623-4300
Practice Address - Street 1:161 MONTGOMERY ST STE D
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-1118
Practice Address - Country:US
Practice Address - Phone:769-300-5200
Practice Address - Fax:601-623-4300
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2025-09-03
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Provider Licenses
StateLicense IDTaxonomies
MS25783208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics