Individual
LAINIE J JORNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1110 BROAD AVE, SUITE 700, GULFPORT, MS 39501
(228) 864-0314
Mailing address
1110 BROAD AVE, SUITE 700, GULFPORT, MS 39501-8907
(228) 864-0314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23208
MS
Other
Enumeration date
04/23/2009
Last updated
09/05/2018
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