Gregory, Lideaderick Lamar

Gregory, Lideaderick Lamar is an sole proprietor health care provider with primary practice located at 1030 Jefferson Ave , Memphis TN 38104-2127. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Gregory, Lideaderick Lamar can be contacted via phone (901) 523-8990.

Contact Information

Primary practice address
1030 Jefferson Ave Memphis TN 38104-2127
Phone: (901) 523-8990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 239601 Tennessee

Profile Details

NPI number 1720859762
LBN Legal business name Gregory, Lideaderick Lamar
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2024
Last updated Jan 9th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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