Individual
MRS. LAWANDA HERRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
630 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1311
(662) 473-2489
Mailing address
630 S MAIN ST, WATER VALLEY, MS 38965-3468
(662) 473-1311
(662) 473-2489
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R764072
MS
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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