Organization
LEAP ONE ENTERPRISE PLLC
Active
Other names
Care One Endocrine Instutite
Organization subpart
No
Provider details
NPI number
Authorized official
FOSTER LAGINA C MD (OWNER/PHYSICIAN)
(615) 525-1019
Entity
Organization
Contact information
Practice address
5160 GALAXIE DR, JACKSON, MS 39206-4308
(615) 525-1019
(601) 366-3415
Mailing address
5160 GALAXIE DR, JACKSON, MS 39206-4308
(615) 525-1019
(601) 366-3415
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
21249
MS
Other
Enumeration date
10/19/2011
Last updated
11/08/2011
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