LISA LATHEM

JACKSON, MS
NPI1710210794
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R672106)
Enumeration Date2009-09-09
Last Update Date2015-04-30
Business Address
Mrs. LISA LATHEM NP
971 LAKELAND DR SUITE 557
JACKSON, MS 39216-4643
Phone number: 601-200-4560
Mailing Address
Mrs. LISA LATHEM NP
PO BOX 23666
JACKSON, MS 39225-3666
Phone number: 601-200-4749
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