Individual
MR. LANCE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-1382
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
215780
LA
363LF0000X
Family Nurse Practitioner
Primary
R864589
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05527532
—
MS
Enumeration date
03/08/2013
Last updated
04/19/2023
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