Leatherwood, Lynn

Leatherwood, Lynn is an individual health care provider with primary practice located at 15286 Community Rd , Gulfport MS 39503-3509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Leatherwood, Lynn can be contacted via phone (228) 832-5151.

Contact Information

Primary practice address
15286 Community Rd Gulfport MS 39503-3509
Phone: (228) 832-5151
Fax: (228) 832-6320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10834 Mississippi

Profile Details

NPI number 1750342986
LBN Legal business name Leatherwood, Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Apr 24th, 2008 - about 18 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 1750342986 NPPES
Mississippi Other 110098184 RAILROAD MEDICARE
Mississippi MEDICAID 00114491 RAILROAD MEDICARE

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