Individual
LYNDELL SUE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6051 HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
PO BOX 635614, CINCINNATI, OH 45263-5614
(800) 443-0372
(865) 560-7310
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
851993
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06673353
—
MS
Enumeration date
06/15/2006
Last updated
06/08/2021
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