LAKEISHA RENAE CHISM

TUPELO, MS
NPI1750720363
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  23963)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-06-17
Last Update Date2017-10-05
Business Address
Dr. LAKEISHA RENAE CHISM M.D.
1665 S GREEN ST
TUPELO, MS 38804-6556
Phone number: 662-377-2189
Mailing Address
Dr. LAKEISHA RENAE CHISM M.D.
1665 S GREEN ST
TUPELO, MS 38804-6556
Phone number: 662-377-2189