NPI 1306767702

Demetrica Leavy

Practitioner Phlebotomy Technician Ridgeland, MS

Practice location

Address: 203 Pecan Park Dr, Ridgeland, MS 39157-2817
Phone: (662) 809-3755

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence F5W7L9G6 (MS)

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Registry record

NPI: 1306767702
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jul 2026
Record last updated: 22 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.