Organization
RETINA SPECIALISTS OF MISSISSIPPI, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WRIGHT B. LAUTEN MD (SOLE MEMBER)
(601) 255-0736
Entity
Organization
Contact information
Practice address
109 MILLSAPS DR STE B, HATTIESBURG, MS 39402-1587
(601) 255-0736
Mailing address
109 MILLSAPS DR STE B, HATTIESBURG, MS 39402-1587
(601) 255-0736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
21600
MS
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
12/22/2016
Last updated
03/24/2022
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