LAWRENCE DOUGLAS SAMPSON

JACKSON, MS
NPI1124409412
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-06-12
Last Update Date2015-06-12
Business Address
Mr. LAWRENCE DOUGLAS SAMPSON
6204 N STATE ST
JACKSON, MS 39213-9731
Phone number: 202-765-8092
Mailing Address
Mr. LAWRENCE DOUGLAS SAMPSON
6204 N STATE ST
JACKSON, MS 39213-9731
Phone number: 202-765-8092