| Dr Ishak Lukas Enggano, MD | |
| 830 S Gloster St, Tupelo, MS 38801-4934 | |
| (662) 620-1468 | |
| (662) 844-8298 | 
| Full Name | Dr Ishak Lukas Enggano | 
|---|---|
| Gender | Male | 
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology | 
| Location | 830 S Gloster St, Tupelo, Mississippi | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1417995119 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 10209 (Mississippi) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ishak Lukas Enggano, MD Po Box 1507, Tupelo, MS 38802-1507 Ph: (662) 620-1468 | Dr Ishak Lukas Enggano, MD 830 S Gloster St, Tupelo, MS 38801-4934 Ph: (662) 620-1468 | 
| Dr. Richard Dwight Griswold, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, Pathology Department, Tupelo, MS 38801 Phone: 662-377-3000 | |
| Dr. Frances Jariel Hairston, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Pathology Department, Tupelo, MS 38801 Phone: 662-377-3000 | |
| Dr. Cohra Colleen Mankey, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Pathology Dept, Tupelo, MS 38801 Phone: 662-620-7102 Fax: 662-620-7106 | |
| Dr. Curtis Lynn Collins, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, Pathology Department, Tupelo, MS 38801 Phone: 662-377-3000 | |
| Lulin Hu, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-3000 Fax: 419-866-5453 | |
| Dr. Jerry Pascall Moore, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 146 Road 83, Tupelo, MS 38801 Phone: 662-407-0199 | |
| Dr. Sherry Denise Okun, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Pathology Department, Tupelo, MS 38801 Phone: 662-377-3000 |