# MAGNOLIA ANESTHESIA CONSULTANTS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1285101816
- **Authorized official:** LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
- **Authorized official phone:** (210) 598-2800

## Contact information

- **Practice address:** 4209 LAKELAND DR \#252, FLOWOOD, MS 39232
- **Practice address phone:** (601) 790-3086
- **Mailing address:** 4209 LAKELAND DR \# 252, FLOWOOD, MS 39232-9212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2018
- **Last updated:** 11/01/2018