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Individual

MRS. KRISTIN FIKES LAGARDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5430
(601) 268-5819
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5430
(601) 268-5819

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872859
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00805325
MS
01
6179919
CIGNA
MS
01
P00844125
RAILROAD MEDICARE
MS
Enumeration date
07/01/2009
Last updated
09/30/2010
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