Lisa Deloris Slade is a Family Nurse Practitioner based in Hattiesburg, MS and is specialized in Family. Lisa Deloris Slade practices in Hattiesburg, MS and has the professional credentials of FNP-BC. The NPI Number for Lisa Deloris Slade is 1013080027 and holds a License No. R772518 (Mississippi).
The current practice location address for Lisa Deloris Slade is 605 Stadium Dr, Hattiesburg, MS and can be reached out via phone at 601-450-0310 and via fax at 601-450-0321.
Identifier | Type | State | Issuer |
---|---|---|---|
08700008 | 05 | MS | |
11838342 | 01 | MS | CAQH ID # |
1719640P01 | 01 | MS | CIGNA |
1043492770 | 01 | MS | FIRST CHOICE OF MISSISSIPPI |
2888996 | 01 | MS | UNITED HEALTH CARE |
9989130 | 01 | MS | AETNA |
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