Individual
LEMICHAL PAUL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 CLAY ST, VICKSBURG, MS 39183-2912
(601) 738-5820
(601) 738-5083
Mailing address
1110 CLAY ST, VICKSBURG, MS 39183-2912
(601) 738-5820
(601) 738-5083
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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