Individual
MAGEN LYNN LEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-2100
Mailing address
503 GIVENS MULLINS RD, MONTICELLO, MS 39654-9169
(601) 954-2850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904682
MS
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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