Organization
LEFLORE BIOIDENTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA HOMOLIK (R.N.)
(662) 299-8014
Entity
Organization
Contact information
Practice address
1313 RIVER RD, GREENWOOD, MS 38930-4029
(662) 299-8014
(662) 459-9175
Mailing address
1313 RIVER RD, GREENWOOD, MS 38930-4029
(662) 299-8014
(662) 459-9175
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
06657
MS
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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