Individual
LAKEEIA LASHOUNDRA MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1120 E MAIN ST STE 24, PHILADELPHIA, MS 39350-2300
(601) 781-8677
(601) 676-0550
Mailing address
1120 E MAIN ST STE 24, PHILADELPHIA, MS 39350-2300
(601) 781-8677
(601) 676-0550
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903022
MS
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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