Organization
PREMIER RESPIRATORY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASANDRA ANN ROBERTS BS, RRT (OWNER/REHAB COORDINATOR)
(662) 256-6726
Entity
Organization
Contact information
Practice address
404 GILMORE DRIVE, AMORY, MS 38821
(662) 256-6726
Mailing address
60133 WILLIAMS YOUNG RD, SMITHVILLE, MS 38870-9788
(662) 256-6726
Taxonomy
Speciality
Code
Description
License number
State
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
Primary
RCP0495
MS
Other
Enumeration date
01/28/2010
Last updated
07/23/2010
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