Individual
NICOLE LAMPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
285 HOLMES PITTMAN RD, FOXWORTH, MS 39483-3166
(601) 736-3111
(601) 444-5036
Mailing address
285 HOLMES PITTMAN RD, FOXWORTH, MS 39483-3166
(601) 736-3111
(601) 444-5036
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT1764
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT1764
MISSISSIPPI STATE BOARD OF PHYSICAL THERAPY
MS
Enumeration date
10/15/2013
Last updated
10/15/2013
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