Lee, Lyndell Sue

Lee, Lyndell Sue is an individual health care provider with primary practice located at 6051 Highway 49 , Hattiesburg MS 39401-7200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lee, Lyndell Sue can be contacted via phone (601) 288-7000.

Contact Information

Primary practice address
6051 Highway 49 Hattiesburg MS 39401-7200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 851993 Mississippi

Profile Details

NPI number 1013951854
LBN Legal business name Lee, Lyndell Sue
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Jun 8th, 2021 - about 3 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 1013951854 NPPES
Mississippi MEDICAID 06673353

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