Individual
LAUREN JOHNSON MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1190 N STATE ST STE 502, JACKSON, MS 39202-2414
(601) 944-1781
(601) 353-0439
Mailing address
1001 PEVEY LN, CRYSTAL SPRINGS, MS 39059-9393
(601) 278-1536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00707
MS
Other
Enumeration date
03/03/2023
Last updated
06/03/2024
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