THE LAUREN FORTE HAIR LOSS REPLACEMENT CENTER


Address: 143 Laura Lake Rd, Vicksburg, MS 39180-9787
Phone: 7697981999

THE LAUREN FORTE HAIR LOSS REPLACEMENT CENTER (NPI# 1285097048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285097048
Entity Type Organization
Organization Name THE LAUREN FORTE HAIR LOSS REPLACEMENT CENTER
Practice Address 143 Laura Lake Rd
Vicksburg
MS 39180-9787
Practice Telephone 7697981999
Mailing Telephone 7697981999
Enumeration Date 2016-03-30
Last Update Date 2016-03-30
Authorized Official Name LAUREN FORTE (CERTIFIED HAIR LOSS SPECIALIST)
Authorized Official Telephone 7697981999
Authorized Official Credential CERTIFIED HAIR L
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1744P3200X Specialist
Specialization: Prosthetics Case Management
Other Service Providers

Office Location

Street Address 143 LAURA LAKE RD
City VICKSBURG
State MS
Zip Code 39180-9787

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NPI Name Taxonomy Address Enumeration
1255877346 Elite Performance and Rehab, LLC Clinic/Center 1901 A Mission 66, Vicksburg, MS 39180 2017-01-12
1679931083 Heather M Anderson Physician Assistant 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 2016-02-01
1245604941 Warren County Assn.for Retarded Citizens, Inc. Day Training, Developmentally Disabled Services 100 Smokey Lane, Vicksburg, MS 39180 2015-11-18
1386012904 Brian Oliver Snowden Counselor 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 2015-09-14
1962802710 Jordan P. Crocker, D.m.d., Pllc Clinic/Center 109 Monument Place, Vicksburg, MS 39180 2014-08-29
1821434259 Trisha Addison Physical Therapist 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 2013-05-13
1073862157 Laura Jeanne Briggs Physical Therapist 1901-a Mission 66, Vicksburg, MS 39180 2012-09-05
1912175258 Andrea T. Harris Counselor Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 2008-02-20
1922217314 Austin Family Dentistry Dentist 3040 Indiana Ave, Vicksburg, MS 39180 2007-05-22
1063539138 Ollie Hardaway Jr. Dentist 154 Cottonwood Street, Vicksburg, MS 39180 2007-03-23
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Taxonomy Information

Taxonomy Code 1744P3200X
Grouping Other Service Providers
Classification Specialist
Specialization Prosthetics Case Management

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932715216 Stacy Michelle Reed Specialist 121 Lonnie Jenkins Dr, Pearl, MS 39208-3520 2020-09-22
1962014100 Orthotic & Prosthetic Solutions LLC Specialist 3670 Lakeland Ln # B-4, Jackson, MS 39216-4700 2020-08-19
1023653714 Aundray Terall Shackelford Specialist 105 Rankin Blvd Ext, Tupelo, MS 38801-4611 2019-11-17
1194383398 Candice Williams Specialist 820 N Gloster St, Tupelo, MS 38804-1949 2019-06-03
1598252645 Catiecha L Edwards Specialist 1162 Franklin St, Grenada, MS 38901-4237 2018-04-14
1992200950 Cristy M Mathews Specialist 132 Paulding Rd, Leakesville, MS 39451-3073 2018-03-29
1386146520 Jan A Jordan Specialist 1615 2nd Ave N, Columbus, MS 39701-4927 2018-03-04
1679085948 Alan Evans Specialist 106 North Lafayette St, Starkville, MS 39759 2017-10-26
1649725409 Tynita Steele Specialist 5304 Gautier Vancleave Rd, Gautier, MS 39553-4216 2016-08-22
1073975066 Dermaine Antwan Johnson Specialist 3500 Highway 39 N Apt 77, Meridian, MS 39301-1339 2016-03-28
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Competitor

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City VICKSBURG
Zip Code 39180

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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