LACRISTA MONTGOMERY SPECIALUST NPI 1710505649

NPI Information

NPI: 1710505649
Provider Name: LACRISTA MONTGOMERY, SPECIALUST
Classification: Specialist - 1744P3200X
Entity Type: Individual

Specialization: Prosthetics Case Management

Address:
811 GARFIELD ST
TUPELO, MS
ZIP 38801
Phone: (662) 422-6044
Get Directions

Lacrista Montgomery, SPECIALUST is a prosthetics case management specialist in Tupelo, MS. Lacrista Montgomery, SPECIALUST NPI is 1710505649. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

811 GARFIELD ST
TUPELO, MS
ZIP 38801-748
Phone: (662) 422-6044

The enumeration date for this NPI number is 7/7/2020 and was last updated on 7/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1744P3200X	Specialist	Prosthetics Case Management	0059659	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0059659	OTHER	MISSISSIPPI	SPECIALIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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