Individual
LAURA SESTOKAS HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5183
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5183
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
27914
MS
Other
Enumeration date
06/12/2013
Last updated
08/27/2021
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