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Organization
LUMBERTON ELEMENTARY SCHOOL
Active
Organization
LUMBERTON ELEMENTARY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESS SMITH (SUPERINTENDENT)
(601) 794-1030
Entity
Organization
Contact information
Practice address
7922 US-11, LUMBERTON, MS 39455
(601) 796-3721
Mailing address
PO BOX 609, PURVIS, MS 39475
(601) 794-1030
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
06823526
MS
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06823526
—
MS
Enumeration date
10/17/2007
Last updated
12/27/2018
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