NPI 1033494372

Leap One Enterprise PLLC

Organisation Endocrinology, Diabetes & Metabolism Physician Jackson, MS

Practice location

Address: 5160 Galaxie Dr, Jackson, MS 39206-4308
Phone: (615) 525-1019
Fax: (601) 366-3415

Authorised official

Name: Foster Lagina C
Title: Owner/Physician
Phone: (615) 525-1019

Registered specialties

Endocrinology, Diabetes & Metabolism Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RE0101X Licence 21249 (MS)

Other Internal Medicine providers in Mississippi →

Registry record

NPI: 1033494372
Entity type: Organization
NPI issued: 19 Oct 2011
Record last updated: 8 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.