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Individual

DR. LAWRENCE EDSEL STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
405 MARION AVE, MCCOMB, MS 39648-2709
(601) 684-1250
(601) 684-0129
Mailing address
405 MARION AVE, MCCOMB, MS 39648-2709
(601) 684-1250
(601) 684-0129

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
11503
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00015646
MS
Enumeration date
11/01/2006
Last updated
11/19/2007
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