Individual
DR. LENNIS JOSEPH DEROUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 TOMMY MUNRO DR, BILOXI, MS 39532-2133
(228) 388-0091
(228) 388-0094
Mailing address
979 TOMMY MUNRO DR, BILOXI, MS 39532-2133
(228) 388-0091
(228) 388-0094
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13520
MS
Other
Enumeration date
01/10/2006
Last updated
10/04/2011
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