Grant, Dana Lanell
Grant, Dana Lanell is an individual health care provider with primary practice located at 1824 Hospital Dr , Jackson MS 39204-3410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Grant, Dana Lanell can be contacted via phone (601) 346-4586.Contact Information
Primary practice address
1824 Hospital Dr
Jackson MS 39204-3410
Phone: (601) 346-4586
Fax: (601) 346-4587
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 19338 | Mississippi |
Profile Details
| NPI number | 1881759702 |
|---|---|
| LBN Legal business name | Grant, Dana Lanell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Nov 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881759702 | NPPES |
| Mississippi | MEDICAID | 05025008 |
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