Organization
LAUDERDALE CO. SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY HODGES (SUPERINTENDENT)
(601) 693-1683
Entity
Organization
Contact information
Practice address
702 BRIARWOOD RD, MERIDIAN, MS 39305-9437
(601) 679-8523
(601) 679-7515
Mailing address
702 BRIARWOOD RD, MERIDIAN, MS 39305-9437
(601) 679-8523
(601) 679-7515
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R529834
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04172558
—
MS
Enumeration date
08/13/2009
Last updated
08/13/2009
Update your record
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