DR. Ryder Lane Costa, DO

NPI #1053005751 in Corinth, Mississippi

Provider Information

NPI Number: 1053005751
Entity Type: Individual
Name: DR. Ryder Lane Costa, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: DO
Enumeration Date: Jun 6, 2023
Last Updated: Jun 7, 2023

Practice Location

Address: 611 ALCORN DR
City: Corinth
State: Mississippi
ZIP Code: 38834-9388
Phone: (662) 293-1143

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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