# LEAP ONE ENTERPRISE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Care One Endocrine Instutite
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033494372
- **Authorized official:** FOSTER LAGINA C MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (615) 525-1019

## Contact information

- **Practice address:** 5160 GALAXIE DR, JACKSON, MS 39206-4308
- **Practice address phone:** (615) 525-1019
- **Practice address fax:** (601) 366-3415
- **Mailing address:** 5160 GALAXIE DR, JACKSON, MS 39206-4308
- **Mailing address phone:** (615) 525-1019
- **Mailing address fax:** (601) 366-3415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 21249 | MS | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 11/08/2011