LYDIA ROSE

JACKSON, MS
NPI1588241004
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  T-4400)
Enumeration Date2021-03-29
Last Update Date2021-07-08
Business Address
LYDIA ROSE
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
Mailing Address
LYDIA ROSE
3805 CRANE BLVD
JACKSON, MS 39216-3608
Phone number:
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