LINNEA R LAKE

GULFPORT, MS
NPI1770550618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R787174)
Enumeration Date2006-02-28
Last Update Date2018-03-17
Business Address
LINNEA R LAKE CFNP
4500 W RAILROAD ST
GULFPORT, MS 39501-2479
Phone number: 228-863-8836
Mailing Address
LINNEA R LAKE CFNP
PO BOX 475
BILOXI, MS 39533
Phone number:
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