Dr. Lawrence A. Leake, MD
Family Medicine in Pascagoula, MS. Individual provider (NPI-1).
NPI number1124179767
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1124179767
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lawrence A. Leake
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 12, 2007
- Certification date
- Jan 11, 2021
- Last updated
- Jan 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 13594 | MS | Yes |
| 207P00000X | Emergency Medicine | MS13594 | MS |
Practice location
2809 Denny AvePascagoula, MS 39581-5301
Phone 228-809-5000
Mailing address
2101 Highway 90Gautier, MS 39553-5340
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