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NPI Code Detail

MEDICARE: DR. KATHERINE LILLIAN CRANSTON MD

MEDICARE:  DR. KATHERINE LILLIAN CRANSTON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician36159MS

General Provider Information

NPI Number : 1366184210
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE LILLIAN CRANSTON MD
Provider Business Mailing Address
First Line : 1430 JEFFERSON ST
Second Line :
City : LAUREL
State : MS
Zip : 39440-4243
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1430 JEFFERSON ST
Second Line :
City : LAUREL
State : MS
Zip : 39440-4243
Country : US
Telephone Number : 601-425-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2022
Last Update Date : 12/19/2025

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Directions to “ DR. KATHERINE LILLIAN CRANSTON MD” Practice Location

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