Lawrence Douglas Sampson Jr.
Case Manager/Care Coordinator in Jackson, MS. Individual provider (NPI-1).
NPI number1124409412
StatusActive
Last updated in NPPESJun 12, 2015
Details
- NPI
- 1124409412
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lawrence Douglas Sampson Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2015
- Last updated
- Jun 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | MS | Yes |
Practice location
6204 N State StJackson, MS 39213-9731
Phone 202-765-8092
Mailing address
6204 N State StJackson, MS 39213-9731
Phone 202-765-8092
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All 185 Case Manager/Care Coordinator providers in Jackson · All 8,702 providers in Jackson
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