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Individual

DR. LAWRENCE LEE CRESWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5170
(601) 984-5198
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5170
(601) 984-5198

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
17992
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1630559
MS
Enumeration date
08/20/2006
Last updated
12/11/2017
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