Individual provider · Type 1 NPI
Lakitta Shuntel Black
Specialist · Olive Branch, MS
NPI number
1780314286
Active
Practice location
7721 Hacks Cross Rd Ste 114
Olive Branch, MS 38654-3909
Fax (662) 796-6432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 557970 (MS) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
About NPI 1780314286
Lakitta Shuntel Black's National Provider Identifier is 1780314286, issued on Jun 16, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Olive Branch, MS. The record was last updated on Jun 23, 2022.