Individual
DR. LEA MARIE TRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-2664
Mailing address
1200 DEANA ST APT K203, OCEAN SPRINGS, MS 39564-0015
(603) 498-9012
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
35.149194
OH
208600000X
Surgery Physician
57.253672
OH
208D00000X
General Practice Physician
Primary
35.149194
OH
Other
Enumeration date
06/16/2022
Last updated
02/21/2025
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