Organization · Type 2 NPI

Lakeland Home Program, LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Flowood, MS

NPI number 1497193023 Active

Practice location

1010 Lakeland Square Ext Ste A
Flowood, MS 39232-7626

Fax (601) 932-2593

Other practice locations

  • 1000 Lakeland Square Ext, Suite 200, Flowood, MS 39232-7620 · (601) 932-2124

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1497193023

Lakeland Home Program, LLC's National Provider Identifier is 1497193023, issued on Jun 5, 2013. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Flowood, MS. The record was last updated on Sep 1, 2026.