Individual
DR. BRYAN S. LANTRIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(877) 406-2916
(601) 682-7909
Mailing address
PO BOX 55769, JACKSON, MS 39296-5769
(601) 200-6162
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
13254
MS
2085R0202X
Diagnostic Radiology Physician
Primary
13254
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126008
—
MS
01
—
1861428351
GROUP NPI
—
01
—
C00475
GROUP MEDICARE UPIN
—
Enumeration date
07/29/2006
Last updated
07/31/2025
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