VICKI NICOLE LARY

ITTA BENA, MS
NPI1083788665
Former NameNICKI BOGGAN LARY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R860262)
Enumeration Date2006-11-17
Last Update Date2009-03-30
Business Address
Mrs. VICKI NICOLE LARY CFNP
103 BASKET ST
ITTA BENA, MS 38941-2801
Phone number: 662-254-7801
Mailing Address
Mrs. VICKI NICOLE LARY CFNP
2207 RIVER ROAD EXTENDED
GREENWOOD, MS 38930
Phone number: 662-451-9984