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Organization
RETINA SPECIALISTS OF MISSISSIPPI, PLLC
Active
Organization
RETINA SPECIALISTS OF MISSISSIPPI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WRIGHT B. LAUTEN MD (SOLE MEMBER)
(601) 255-0736
Entity
Organization
Contact information
Practice address
109 MILLSAPS DR STE B, HATTIESBURG, MS 39402-1587
(601) 255-0736
Mailing address
109 MILLSAPS DR STE B, HATTIESBURG, MS 39402-1587
(601) 255-0736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
21600
MS
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
03/24/2022
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