Individual
LORI MARTIN CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FAMILY NP
Contact information
Practice address
533 LAKE ST, HAZLEHURST, MS 39083-2217
(601) 552-5253
Mailing address
1954 HIGHWAY 550 NW, BROOKHAVEN, MS 39601
(601) 832-5349
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905104
MS
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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