Individual
LAURA LEA SEGREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-4366
(601) 703-4064
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-4366
(601) 703-4064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R684813
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01124399
—
MS
Enumeration date
08/25/2008
Last updated
10/30/2014
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