Individual
LISA MARIE KEELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
294 E LAYFAIR DR, FLOWOOD, MS 39232-9526
(601) 414-6520
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 414-6520
(601) 414-6568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24643
MS
208000000X
Pediatrics Physician
24643
MS
Other
Enumeration date
05/31/2012
Last updated
08/19/2024
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