Organization
LAKELAND OPTICAL, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINDELL LEE LEWIS (MANAGER)
(601) 982-9477
Entity
Organization
Contact information
Practice address
3000 OLD CANTON RD, SUITE 100, JACKSON, MS 39216-4200
(601) 982-9477
(601) 982-4401
Mailing address
3000 OLD CANTON RD, SUITE 100, JACKSON, MS 39216-4200
(601) 982-9477
(601) 982-4401
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
C08463429
MS
Other
Enumeration date
01/09/2007
Last updated
07/10/2015
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