MR. Lakedrian Guy, IDMT

NPI #1679828842 in Gulfport, Mississippi

Provider Information

NPI Number: 1679828842
Entity Type: Individual
Name: MR. Lakedrian Guy, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Jul 13, 2012
Last Updated: Jul 13, 2012

Practice Location

Address: 980 COURTHOUSE RD APT 1521
City: Gulfport
State: Mississippi
ZIP Code: 39507-4298
Phone: (850) 450-7044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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