Individual
JOSEPH LANCE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4211 HOSPITAL ST, PASCAGOULA, MS 39581-5320
(228) 282-4140
Mailing address
2300 WESTBROOK ST APT 67, OCEAN SPRINGS, MS 39564-4038
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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