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MRS. LYDIA ELLIS WEISSER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1818 COLLEGE DRIVE, MERIDIAN, MS 39307-5429
(601) 581-7592
(601) 483-5543
Mailing address
PO BOX 4128, MERIDIAN, MS 39304-4128
(601) 581-7592
(601) 483-5543

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
19817
MS

Other

Enumeration date
10/13/2006
Last updated
12/17/2013
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