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Lca Of Ms, LLC

Clinic/Center, Health Services in Hattiesburg, MS. Organization (NPI-2).

NPI number1982254389
StatusActive
Last updated in NPPESSep 17, 2019

Details

NPI
1982254389
Entity type
Organization (NPI-2)
Legal business name
Lca Of Ms, LLC
Organization subpart
No
Enumeration date
Sep 17, 2019
Last updated
Sep 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services––Yes

Practice location

6098 U S Highway 98 Ste 4
Hattiesburg, MS 39402-8878

Phone 601-402-9822

Mailing address

6098 U S Highway 98 Ste 4
Hattiesburg, MS 39402-8878

Phone 601-402-9822

Authorized official

Will Blount
Secretary
6015736919

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