Search › Mississippi › 3747P1801X
Lawrence Self
NPI 1811534472 · on the registry since 2019 · sole proprietor
Practice
- Address
- 19150 Highway 61 N
Lyon, MS 38645 - Phone
- (662) 902-4614
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi