Individual
MRS. LAURA LOTT WHITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
110 TCHULA ST, LEXINGTON, MS 39095-3111
(662) 834-5339
(601) 815-0456
Mailing address
110 TCHULA ST, LEXINGTON, MS 39095-3111
(662) 834-5339
(601) 815-0456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902753
MS
363LF0000X
Family Nurse Practitioner
902753
MS
Other
Enumeration date
04/08/2019
Last updated
08/10/2021
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