NPI 1104517424
Lsp Southeast, LLC
Practice location
- Address
- 290 Hancock Square Dr, Bay St Louis, MS 39520-1634
- Phone
- (480) 297-2184
Authorised official
- Name
- Alyssa Zelkovich
- Title
- Managing Partner
- Phone
- (480) 297-2184
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1104517424
- Entity type
- Organization
- NPI issued
- 17 May 2023
- Record last updated
- 13 Jan 2025
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.