Individual
LEAH LAMB RYBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 N STATE ST, CLARKSDALE, MS 38614-6100
(662) 627-7361
(662) 627-5106
Mailing address
2000 N STATE ST, CLARKSDALE, MS 38614-6100
(662) 645-5324
(662) 627-5106
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903740
MS
363LF0000X
Family Nurse Practitioner
903740
MS
Other
Enumeration date
01/31/2020
Last updated
01/11/2023
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