Lakedrian Guy, IDMT
Military Health Care Provider, Independent Duty Medical Technicians in Gulfport, MS. Individual provider (NPI-1).
NPI number1679828842
StatusActive
Last updated in NPPESJul 13, 2012
Details
- NPI
- 1679828842
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lakedrian Guy
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2012
- Last updated
- Jul 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
Practice location
980 Courthouse Rd Apt 1521Gulfport, MS 39507-4298
Phone 850-450-7044
Mailing address
980 Courthouse Rd Apt 1521Gulfport, MS 39507-4298
Phone 850-450-7044
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