Individual
LULA C. WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
107 BRANDON RD, STARKVILLE, MS 39759-2521
(662) 324-1291
(662) 324-2196
Mailing address
107 BRANDON RD, STARKVILLE, MS 39759-2521
(662) 324-1291
(662) 324-2196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R640514
MS
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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