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Lucedale Intermediate School
Student in an Organized Health Care Education/Training Program in Lucedale, Mississippi
NPI 1790116838

Lucedale Intermediate School is a Student in an Organized Health Care Education/Training Program based in Lucedale, MS. Lucedale Intermediate School practices in Lucedale, MS. The NPI Number for Lucedale Intermediate School is 1790116838 and holds a License No. R872149 (Mississippi).

The current practice location address for Lucedale Intermediate School is 159 Mable St, Lucedale, MS and can be reached out via phone at 601-947-6065 and via fax at 601-947-6127.

Location: 159 Mable St, Lucedale, MS, 39452-5821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790116838
Provider Name
Lucedale Intermediate School
Credential
Provider Entity Type
Organization
Address
159 Mable St, Lucedale, MS, 39452-5821
Phone Number
601-947-6065
Fax Number
601-947-6127
Provider Enumeration Date
11/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
159 Mable St
City
Lucedale
State
Mississippi
Zip
39452-5821
Phone Number
601-947-6065
Fax Number
601-947-6127
person
Provider Business Mailing Address Details
Address
159 Mable St
City
Lucedale
State
Mississippi
Zip
39452-5821
Phone Number
601-947-6065
Fax Number
601-947-6127
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
R872149 (Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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