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Nicholas Lacivita
NPI 1700451291 · on the registry since 2021 · sole proprietor
Practice
- Address
- 613 Marquette Rd
Brandon, MS 39042 - Phone
- (601) 824-0342
- Organisation at this address
- Erica Sutton,Rn
Region 8 Mh/Mr Commission
Region 8 Mh Mr Commission Bridges
Madison Rankin Simpson Mental HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 187
Additional practice sites
- Mississippi State Hospital, Whitfield, MS
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Also registered as
- 390200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-11
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