Lawin, Penny Jo

Lawin, Penny Jo is an individual health care provider with primary practice located at 1325 E Fortification St , Jackson MS 39202-2442. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Lawin, Penny Jo can be contacted via phone (601) 354-4488.

Contact Information

Primary practice address
1325 E Fortification St Jackson MS 39202-2442
Phone: (601) 354-4488
Fax: (601) 914-1852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 16291 Mississippi

Profile Details

NPI number 1346238540
LBN Legal business name Lawin, Penny Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Nov 17th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346238540 NPPES
Mississippi Other 200035795 MEDICARE RR
Mississippi MEDICAID 00121159 MEDICARE RR

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