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Individual

ALEXA LAMPKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216
(601) 955-0778
Mailing address
106 MARTINS KY, RIDGELAND, MS 39157-3419

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3956-17
MS
390200000X
Student in an Organized Health Care Education/Training Program
MS

Other

Enumeration date
04/21/2017
Last updated
08/08/2018
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