Montgomery, Lacrista
Montgomery, Lacrista is an sole proprietor health care provider with primary practice located at 811 Garfield St , Tupelo MS 38801-5748. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Montgomery, Lacrista can be contacted via phone (662) 422-6044.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Prosthetics Case Management | 1744P3200X | 0059659 | Mississippi |
Profile Details
| NPI number | 1710505649 |
|---|---|
| LBN Legal business name | Montgomery, Lacrista |
| Credentials | SPECIALUST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2020 |
| Last updated | Jul 7th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710505649 | NPPES |
| Mississippi | Other | 0059659 | SPECIALIST |
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