Organization
LCA OF MS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILL BLOUNT (SECRETARY)
(601) 573-6919
Entity
Organization
Contact information
Practice address
6098 U S HIGHWAY 98 STE 4, HATTIESBURG, MS 39402-8878
(601) 402-9822
Mailing address
6098 U S HIGHWAY 98 STE 4, HATTIESBURG, MS 39402-8878
(601) 402-9822
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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