MEDICARE: LAUREN ELIZABETH CANTRELL

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1174474696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN ELIZABETH CANTRELL

Provider Business Mailing Address
First Line	:	409 MAINSAIL WAY
Second Line	:
City	:	BRANDON
State	:	MS
Zip	:	39047-7037
Country	:	US
Telephone Number	:	270-210-8331
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 N STATE ST
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39216-4500
Country	:	US
Telephone Number	:	601-984-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

Similar Medicare Providers

1710839543 — ERIN MCLAURIN
Practice Location Address:

2500 N STATE ST
JACKSON, MS
39216-4500

Practice Phone: 601-984-1000
Practice Fax:

1831041466 — ANNA CAROL MITCHELL CPNP-AC/PC
Practice Location Address:

2500 N STATE ST
JACKSON, MS
39216-4500

Practice Phone: 662-255-2037
Practice Fax:

1790719169 — DR. WILLIAM KEITH DUNCAN D.D.S.
Practice Location Address:

2500 N. STATE ST , PEDIATRIC DENTISTRY
JACKSON, MS
39216-4500

Practice Phone: 601-984-6100
Practice Fax: 601-984-6103

1477556231 — UNIVERSITY OPHTHALMOLOGY ASSOCIATES
Practice Location Address:

2500 N STATE ST , STE B329
JACKSON, MS
39216-4500

Practice Phone: 601-815-3931
Practice Fax: 601-815-3773

1629072509 — DR. GEORGE V RUSSELL JR. M.D.
Practice Location Address:

2500 N STATE ST
JACKSON, MS
39216-4500

Practice Phone: 601-815-1277
Practice Fax: 601-815-1722

1285639955 — LORI KAY REED MD
Practice Location Address:

2500 N STATE ST
JACKSON, MS
39216-4500

Practice Phone: 601-984-6525
Practice Fax: 601-984-5151

Directions to “ LAUREN ELIZABETH CANTRELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.