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Lakeland Home Program, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Clinton, Mississippi
NPI 1396267878

Lakeland Home Program, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Clinton, MS and is specialized in End-Stage Renal Disease (ESRD) Treatment. Lakeland Home Program, Llc practices in Clinton, MS. The NPI Number for Lakeland Home Program, Llc is 1396267878 and holds a License No. (Mississippi).

The current practice location address for Lakeland Home Program, Llc is 105 Johnston Pl, Clinton, MS and can be reached out via phone at 601-925-9296 and via fax at 601-925-9297.

Location: 105 Johnston Pl, Clinton, MS, 39056-5911
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396267878
Provider Name
Lakeland Home Program, Llc
Credential
Provider Entity Type
Organization
Address
105 Johnston Pl, Clinton, MS, 39056-5911
Phone Number
601-925-9296
Fax Number
601-925-9297
Provider Enumeration Date
07/17/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 Johnston Pl
City
Clinton
State
Mississippi
Zip
39056-5911
Phone Number
601-925-9296
Fax Number
601-925-9297
person
Provider Business Mailing Address Details
Address
105 Johnston Pl
City
Clinton
State
Mississippi
Zip
39056-5911
Phone Number
601-925-9296
Fax Number
601-925-9297
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
()
Definition
Definition to come...
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