Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LAKEDRIAN GUY, IDMT
ActiveMR. LAKEDRIAN GUY, IDMT is a Independent Duty Medical Technician healthcare provider located in GULFPORT, Mississippi. NPI 1679828842 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · GULFPORT, MS
Registration Details
- NPI Number
- 1679828842
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2012 (14.046089843448 yrs)
- Last Updated
- Jul 13, 2012
Practice Information
- Address
-
980 COURTHOUSE RD APT 1521GULFPORT, MS, 395074298Browse MS providers · Browse ZIP 39507
- Phone
- 8504507044
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
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.