DANNY DEREK LANTRIP

HOUSTON, MS
NPI1477594851
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R853593)
Enumeration Date2006-06-09
Last Update Date2007-11-01
Business Address
-- DANNY DEREK LANTRIP NP
1002 E MADISON ST
HOUSTON, MS 38851-2417
Phone number: 662-456-2800
Mailing Address
-- DANNY DEREK LANTRIP NP
PO BOX 432
HOUSTON, MS 38851-0432
Phone number: 662-456-2800