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LORI SANDERS BEISEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
502 BROAD ST, COLUMBIA, MS 39429-3037
(601) 736-8282
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 736-8282
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
852035
MS
363LF0000X
Family Nurse Practitioner
Primary
901884
MS

Other

Enumeration date
08/15/2016
Last updated
09/01/2022
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