Individual
DR. JOHN ADRIAN LANCON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
971 LAKELAND DR STE 1250, JACKSON, MS 39216-4609
(601) 200-5955
(601) 200-5957
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-5955
(601) 200-5957
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
13239
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120913
—
MS
Enumeration date
09/26/2006
Last updated
09/01/2020
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