Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAKITTA SHUNTEL BLACK
Active Sole ProprietorLAKITTA SHUNTEL BLACK is a Specialist healthcare provider located in OLIVE BRANCH, Mississippi. NPI 1780314286 is currently active in the NPPES registry. Verify at CMS.
Specialist · OLIVE BRANCH, MS
Registration Details
- NPI Number
- 1780314286
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2022 (4.1602853649107 yrs)
- Last Updated
- Jun 23, 2022
- License
-
557970 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7721 HACKS CROSS RD STE 114OLIVE BRANCH, MS, 386543909Browse MS providers · Browse ZIP 38654
- Phone
- 9014612756
- Fax
- 6627966432
- Primary Specialty
-
Specialist
174400000X
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.