Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 32176 | TN |
N | 2084N0400X | Neurologist | E-11206 | AR |
NPI | 1043227606 |
---|---|
Provider Name | Dr. James Lamousin |
First Address | Hattiesburg, MS 39403-1030 |
Second Address | Hattiesburg, MS 39401-6171 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 15/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F48067 | (02) | MS |