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Lawrence Self
Personal Care Attendant in Lyon, Mississippi
NPI 1811534472

Lawrence Self is a Personal Care Attendant based in Lyon, MS and is specialized in Personal Care Attendant. Lawrence Self practices in Lyon, MS. The NPI Number for Lawrence Self is 1811534472 and holds a License No. 800040716 (Mississippi).

The current practice location address for Lawrence Self is 19150 Highway 61 N, Lyon, MS and can be reached out via phone at 662-902-4614.

Location: 19150 Highway 61 N, Lyon, MS, 38645-9779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811534472
Provider Name
Lawrence Self
Credential
Provider Entity Type
Individual
Gender
Male
Address
19150 Highway 61 N, Lyon, MS, 38645-9779
Phone Number
662-902-4614
Fax Number
Provider Enumeration Date
12/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19150 Highway 61 N
City
Lyon
State
Mississippi
Zip
38645-9779
Phone Number
662-902-4614
Fax Number
person
Provider Business Mailing Address Details
Address
19150 Highway 61 N
City
Lyon
State
Mississippi
Zip
38645-9779
Phone Number
662-902-4614
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Personal Care Attendant
Taxonomy
3747P1801X
License No.
800040716 (Mississippi)
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
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