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Individual

LONDON LINZSEY LYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 953-5965
Mailing address
205 SEMINOLE CIR, TERRY, MS 39170-8765
(601) 953-5965

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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