Individual provider · Type 1 NPI

Mary Lou C. Puglese, OD

Student in an Organized Health Care Education/Training Program · Clinton, MS

NPI number 1780432880 Active

Practice location

115 Cynthia St
Clinton, MS 39056-3711

Call (601) 924-4444 Map

Fax (601) 924-5471

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1780432880

Mary Lou C. Puglese, OD's National Provider Identifier is 1780432880, issued on May 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clinton, MS. The record was last updated on May 13, 2024.