LEA WOMACK

JACKSON, MS
NPI1649736919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  903157)
Enumeration Date2019-02-12
Last Update Date2019-02-12
Business Address
LEA WOMACK AGNP
971 LAKELAND DR STE 1052
JACKSON, MS 39216-4609
Phone number: 601-981-9503
Mailing Address
LEA WOMACK AGNP
971 LAKELAND DR STE 1052
JACKSON, MS 39216-4609
Phone number: 601-981-9503
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