Individual
TU LAM STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
365 HIGHWAY 51 N, BATESVILLE, MS 38606-2311
(662) 563-9880
Mailing address
365 HIGHWAY 51 N, BATESVILLE, MS 38606-2311
(662) 563-9880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
666
MS
152W00000X
Optometrist
Primary
773
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07086863
—
MS
Enumeration date
02/21/2007
Last updated
03/20/2014
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