Individual
MR. LAWRENCE DOUGLAS SAMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6204 N STATE ST, JACKSON, MS 39213-9731
(202) 765-8092
Mailing address
6204 N STATE ST, JACKSON, MS 39213-9731
(202) 765-8092
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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