# NORTHSTAR ANESTHESIA OF MISSISSIPPI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124415567
- **Authorized official:** JOSHUA LUMBLEY MD (PRESIDENT)
- **Authorized official phone:** (214) 687-0001

## Contact information

- **Practice address:** 54 SERGEANT PRENTISS DR, NATCHEZ, MS 39120-4726
- **Practice address phone:** (601) 443-2100
- **Mailing address:** PO BOX 610506, DALLAS, TX 75261-0506
- **Mailing address phone:** (239) 610-0775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 04/23/2015
- **Last updated:** 10/10/2023