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Mrs. Lacey Grimes Lichtenstein, NP-C
Family Nurse Practitioner in Gulfport, Mississippi
NPI 1720477714

Lacey Grimes Lichtenstein is a Family Nurse Practitioner based in Gulfport, MS and is specialized in Family. Lacey Grimes Lichtenstein practices in Gulfport, MS and has the professional credentials of NP-C. The NPI Number for Lacey Grimes Lichtenstein is 1720477714 and holds a License No. F1214550 (Mississippi).

The current practice location address for Lacey Grimes Lichtenstein is 1340 Broad Ave, Gulfport, MS and can be reached out via phone at 228-575-1234.

Location: 1340 Broad Ave, Gulfport, MS, 39501-2404
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Provider Profile Details
NPI Number
1720477714
Provider Name
Lacey Grimes Lichtenstein
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
1340 Broad Ave, Gulfport, MS, 39501-2404
Phone Number
228-575-1234
Fax Number
Provider Enumeration Date
01/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1340 Broad Ave
City
State
Zip
39501-2404
Phone Number
228-575-1234
Fax Number
person
Provider Business Mailing Address Details
Address
1340 Broad Ave
City
State
Zip
39501-2404
Phone Number
228-575-1234
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F1214550 (Mississippi)
Definition
Definition to come...
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