Mississippi Lactation Services

LBN: Mississippi Lactation Services
Mississippi Lactation Services is an health care organization with primary practice located at 435 Katherine Dr Ste B , Flowood MS 39232-9781. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Lactation Consultant, Non-RN, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Mississippi Lactation Services can be contacted via phone (601) 932-6455, or through Puckett, Michael Austin via phone (601) 932-6455.

Contact Information

Primary practice address
435 Katherine Dr Ste B Flowood MS 39232-9781
Fax:
Website:
Authorized official contact:
Name: Puckett, Michael Austin

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9307 Mississippi

Profile Details

NPI number 1538546247
LBN Legal business name Mississippi Lactation Services
DBA Doing business as
Authorized official Puckett, Michael Austin
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2015
Last updated May 1st, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538546247 NPPES
Mississippi MEDICAID 0014803

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