Jackson, Lana Liane

Jackson, Lana Liane is an individual health care provider with primary practice located at 2500 N State St Dept Of Otolaryngology, Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Jackson, Lana Liane can be contacted via phone (601) 815-3781.

Contact Information

Primary practice address
2500 N State St Dept Of Otolaryngology Jackson MS 39216-4500
Phone: (601) 815-3781
Fax: (601) 984-5085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 056101 Georgia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 22626 Mississippi

Profile Details

NPI number 1639391311
LBN Legal business name Jackson, Lana Liane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Mar 1st, 2016 - about 10 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 1639391311 NPPES
Mississippi MEDICAID 08350002
Mississippi MEDICAID 170144

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