Individual
SUSAN LORENDA MCLENDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
57 BACCHUS RD, COLUMBIA, MS 39429-8208
(601) 731-8090
Mailing address
57 BACCHUS RD, COLUMBIA, MS 39429-8208
(601) 731-8090
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
334257
MS
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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