Individual
MRS. LEE OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2504 TEAKWOOD LN, TUPELO, MS 38801-0348
(662) 231-5192
(662) 489-1135
Mailing address
2504 TEAKWOOD LN, TUPELO, MS 38801-0348
(662) 231-5192
(662) 489-1135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R88293
MS
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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