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Organization
LAUREL PLASTIC SURGERY LLC
Active
Organization
LAUREL PLASTIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOSSEIN NASAJPOUR MD (OWNER)
(601) 580-5076
Entity
Organization
Contact information
Practice address
1410 JEFFERSON ST, LAUREL, MS 39440-4243
(601) 425-7522
Mailing address
1923 W 10TH ST, LAUREL, MS 39440-2538
(601) 705-0078
Taxonomy
Speciality
Code
Description
License number
State
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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