Individual
LAMBERTO GUTIERREZ COSUE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 N OAK AVE, RULEVILLE, MS 38771-3227
(662) 756-4024
(662) 756-4114
Mailing address
PO BOX 369, RULEVILLE, MS 38771-0369
(662) 756-4024
(662) 756-4114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14620
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000116018
—
MS
Enumeration date
01/11/2007
Last updated
03/07/2023
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