NPI 1710505649

Lacrista Montgomery, SPECIALUST

Practitioner Prosthetics Case Management Tupelo, MS

Practice location

Address: 811 Garfield St, Tupelo, MS 38801-5748
Phone: (662) 422-6044
Mailing address: 142 Woodgreen Rd APT 23, Plantersville, MS 38862-9709

Registered specialties

Prosthetics Case Management Primary

Other Service Providers Taxonomy 1744P3200X Licence 0059659 (MS)

Other Specialist providers in Mississippi →

Registry record

NPI: 1710505649
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2020
Record last updated: 7 Jul 2020

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.