Individual
LINDA LAMISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2110 LAKE LOWNDES RD, COLUMBUS, MS 39702-9655
(662) 329-4940
(662) 329-4928
Mailing address
2110 LAKE LOWNDES RD, COLUMBUS, MS 39702-9655
(662) 329-4940
(662) 329-4928
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R640492
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118389
—
MS
05
—
09015265
—
MS
01
—
640908592
TAX ID
MS
01
—
73103350
BCBS OF ALABAMA
AL
Enumeration date
06/21/2005
Last updated
07/09/2007
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