Organization
LINDSTROM EYE & LASER CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH BRADLEY M.D. (M.D.)
(601) 428-0999
Entity
Organization
Contact information
Practice address
1020 ADAMS ST, LAUREL, MS 39440-4365
(601) 426-9454
(601) 426-9476
Mailing address
PO BOX 407, LAUREL, MS 39441-0407
(601) 426-9454
(601) 426-9476
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013550
—
MS
Enumeration date
02/08/2007
Last updated
08/22/2020
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