Organization
LAMAR COUNTY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TESS SMITH (SUPERINTENDENT)
(601) 794-1030
Entity
Organization
Contact information
Practice address
1762 OLD HIGHWAY 24, HATTIESBURG, MS 39402-8235
(601) 268-3862
Mailing address
424 MARTIN LUTHER KING DR, PURVIS, MS 39475-5028
(601) 794-1030
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
R888519
MS
261QS1000X
Student Health Clinic/Center
Primary
876971
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09587350
—
MS
Enumeration date
12/08/2014
Last updated
02/24/2017
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