Individual
LARA BATAINEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-6652
Mailing address
1616 LARKSPUR CIR, TUPELO, MS 38801-6918
(901) 501-1113
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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