Search › Mississippi › 101YP2500X
Lycedia Gasaway
NPI 1467293845 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1967 Emily St
Tupelo, MS 38804 - Phone
- (662) 760-7963
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- GA, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi