Lou, Leland

Lou, Leland is an individual health care provider with primary practice located at 1314 19Th Ave , Meridian MS 39301-4116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Lou, Leland can be contacted via phone (601) 703-4362.

Contact Information

Primary practice address
1314 19Th Ave Meridian MS 39301-4116
Phone: (601) 703-4362
Fax: (601) 703-9321
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 20093 Mississippi

Profile Details

NPI number 1023070893
LBN Legal business name Lou, Leland
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Nov 6th, 2013 - about 13 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 1023070893 NPPES
Mississippi MEDICAID 04402031

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