LISA L DALTON

JACKSON, MS
NPI1104166891
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R882967)
Enumeration Date2013-02-18
Last Update Date2013-02-18
Business Address
-- LISA L DALTON NP
1855 LAKELAND DR STE M20
JACKSON, MS 39216-4913
Phone number: 601-364-1132
Mailing Address
-- LISA L DALTON NP
1855 LAKELAND DR STE M20
JACKSON, MS 39216-4913
Phone number: 601-364-1132
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