Individual provider · Type 1 NPI

Lea Marie Trush, MD

General Practice Physician · Keesler Afb, MS

NPI number 1619607066 Active

Practice location

301 Fisher St
Keesler Afb, MS 39534-2508

Mailing address

1200 Deana St Apt K203
Ocean Springs, MS 39564-0015

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000X35.149194 (OH)
Surgery Physician 208600000X57.253672 (OH)
General Practice Physician Primary 208D00000X35.149194 (OH)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1619607066

Lea Marie Trush, MD's National Provider Identifier is 1619607066, issued on Jun 16, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Keesler Afb, MS. The record was last updated on Feb 21, 2025.