Lca of Ms, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LCA OF MS, LLC

Practice address

6098 U S Highway 98 Ste 4
Hattiesburg, MS 39402-8878

Phone

(601) 402-9822

NPI assigned

Sep 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Will Blount

Title

Secretary

Phone

(601) 573-6919

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1982254389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6098 U S HIGHWAY 98 STE 4",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028878",
            "telephone_number": "601-402-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6098 U S HIGHWAY 98 STE 4",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028878",
            "telephone_number": "601-402-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LCA OF MS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "601-573-6919"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lawing
• Jonathan Lawless, M.S.
• James Lawrence, LCSW
• Gail Lawry
• Virginia Lawson
• Magen Lynn Lea, FNP
• Lawrence J Leader, DO
• Breanne Nunnally Leathers, DNP, FNP
• Robert Price Ledbetter, CCP
• Shawn Ledoux

• All providers in Hattiesburg, MS
• Health Service Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.