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Individual

MRS. LYNDSEY FRY CARLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
7275 S SIWELL RD, BYRAM, MS 39272-9776
(601) 373-7722
Mailing address
2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R889158
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02024340
MS
01
P01629820
RAILROAD MEDICARE
MS
Enumeration date
09/25/2014
Last updated
05/11/2016
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