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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICHOLAS LACIVITA

Active Sole Proprietor

NICHOLAS LACIVITA is a Psychiatry healthcare provider located in BRANDON, Mississippi. NPI 1700451291 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · BRANDON, MS

Registration Details

NPI Number
1700451291
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2021 (5.2423018625526 yrs)
Last Updated
Sep 11, 2024
License
30993 (MS)
Sole Proprietor
Yes

Practice Information

Address
613 MARQUETTE RD
BRANDON, MS, 390423038
Browse MS providers · Browse ZIP 39042
Phone
6018240342
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry

Other Psychiatry Providers in BRANDON, MS

Name Credential NPI
DR. ERIC JERMAINE WARREN M.D. 1730114117
BRENDA BELAGA PRICE MD 1821014176
DR. KAREN HOLLOWAY M.D. 1801997127
DR. RALPH WAYNE SMITH MD 1740354992
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.