LISA A. DIDION

JACKSON, MS
NPI1619186541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MS  21717)
Additional Taxonomies208000000X Pediatrics
(Licence: IA  R-7505)
208000000X Pediatrics
(Licence: IA  37785)
2080A0000X Pediatrics, Adolescent Medicine
(Licence: IA  37785)
2080A0000X Pediatrics, Adolescent Medicine
(Licence: GA  062331)
Enumeration Date2007-05-21
Last Update Date2022-07-21
Business Address
-- LISA A. DIDION M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-8049
Mailing Address
-- LISA A. DIDION M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-8049