Lsp Southeast, LLC
NPI #1104517424 in Bay St Louis, Mississippi
Provider Information
- NPI Number
- 1104517424
- Entity Type
- Organization
- Organization Name
- Lsp Southeast, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- May 17, 2023
- Last Updated
- Jan 13, 2025
Practice Location
- Address
- 290 HANCOCK SQUARE DR
- City
- Bay St Louis
- State
- Mississippi
- ZIP Code
- 39520-1634
- Phone
- (480) 297-2184
Authorized Official
- Name
- ALYSSA ZELKOVICH
- Title
- MANAGING PARTNER
- Phone
- (480) 297-2184
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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