LACEY GRIMES LICHTENSTEIN

GULFPORT, MS
NPI1720477714
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  F1214550)
Enumeration Date2015-01-14
Last Update Date2020-10-27
Business Address
Mrs. LACEY GRIMES LICHTENSTEIN NP-C
1340 BROAD AVE
GULFPORT, MS 39501-2404
Phone number: 228-575-1234
Mailing Address
Mrs. LACEY GRIMES LICHTENSTEIN NP-C
1340 BROAD AVE
GULFPORT, MS 39501-2404
Phone number: 228-572-1234
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