FLEETWOOD LOUSTALOT

HATTIESBURG, MS
NPI1164470928
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R864143)
Enumeration Date2006-05-04
Last Update Date2008-01-05
Business Address
Dr. FLEETWOOD LOUSTALOT RN, NP-C, PhD
2 LAKEVIEW CV
HATTIESBURG, MS 39402-8528
Phone number: 601-264-2657
Mailing Address
Dr. FLEETWOOD LOUSTALOT RN, NP-C, PhD
2 LAKEVIEW CV
HATTIESBURG, MS 39402-8528
Phone number: 601-264-2657