Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LETICIA GAIL MANGRUM
Active Sole ProprietorLETICIA GAIL MANGRUM is a Optician, Dispensing healthcare provider located in MAYFIELD, Kentucky. NPI 1164152690 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · MAYFIELD, KY
Registration Details
- NPI Number
- 1164152690
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2022 (4.1826930005672 yrs)
- Last Updated
- Jun 16, 2022
- License
-
110148 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1225 PARIS RDMAYFIELD, KY, 420664989Browse KY providers · Browse ZIP 42066
- Phone
- 2702476262
- Fax
- 2702478652
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in MAYFIELD, KY
| Name | Credential | NPI |
|---|---|---|
| MRS. LORI LEIGH BATTS | ST LICENSED OPTICIAN | 1356071476 |
| CHRISTY LEE BENIFIELD | — | 1538899034 |
| ROBERT TRAE JONES | — | 1164152666 |
| JEFF LYNN SUMMERS | DO | 1851022602 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.