LIDEADERICK LAMAR GREGORY

MEMPHIS, TN
NPI1720859762
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  40177)
Enumeration Date2024-01-09
Last Update Date2026-01-03
Business Address
LIDEADERICK LAMAR GREGORY PMHNP
3030 COVINGTON PIKE STE 200
MEMPHIS, TN 38128-5048
Phone number: 901-266-8760
Mailing Address
LIDEADERICK LAMAR GREGORY PMHNP
2537 PRINCETON AVE
MEMPHIS, TN 38112-2726
Phone number: 901-483-4889
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