Individual
MR. LANCE P KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2470 FLOWOOD DR, FLOWOOD, MS 39232-9019
(601) 936-0400
(601) 983-2845
Mailing address
PO BOX 3488, TUPELO, MS 38803-3488
(877) 554-4257
(601) 983-2845
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R831651
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
R831651
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06352389
—
MS
Enumeration date
06/09/2006
Last updated
03/01/2021
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