Mangrum, Leticia Gail

Mangrum, Leticia Gail is an sole proprietor health care provider with primary practice located at 1225 Paris Rd , Mayfield KY 42066-4989. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Mangrum, Leticia Gail can be contacted via phone (270) 247-6262.

Contact Information

Primary practice address
1225 Paris Rd Mayfield KY 42066-4989
Phone: (270) 247-6262
Fax: (270) 247-8652
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 110148 Kentucky

Profile Details

NPI number 1164152690
LBN Legal business name Mangrum, Leticia Gail
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2022
Last updated Jun 16th, 2022 - about 2 years 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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