LAQUITA W BAIN NP

MAGNOLIA FAMILY CLINIC

Dr LAQUITA W BAIN NP is a female medical professional, specializing in Nurse Practitioner. She graduated in 2000.

Contact

MAGNOLIA FAMILY CLINIC

100 NORMAN RD
CORINTH
MS
388349372

Tel: 6622876999

LAQUITA W BAIN NP Information

Npi 1437238938
Pac Id 1456305762
Professional Enrollment Id I20050615000569
Last Name BAIN
First Name LAQUITA
Middle Name W
Suffix
Gender F
Credential NP
Medical School Name OTHER
Graduation Year 2000
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MAGNOLIA FAMILY CLINIC
Group Practice Pac Id 3072899541
Number Of Group Practice Members 2
Line 1 Street Address 100 NORMAN RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CORINTH
State MS
Zip Code 388349372
Phone Number 6622876999
Hospital Affiliation Ccn 1 250009
Hospital Affiliation Lbn 1 MAGNOLIA REGIONAL HEALTH CENTER
Hospital Affiliation Ccn 2 250044
Hospital Affiliation Lbn 2 BAPTIST MEMORIAL HOSPITAL BOONEVILLE
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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