Lycedia Gasaway's National Provider Identifier (NPI) Details
Lycedia Gasaway,
NPI: 1467293845
Enumeration Date: 2024-06-01
Last updated: 2024-06-01
Sole Proprietor: YES
Status: active
Postal Address: 1967 EMILY ST, TUPELO, MS
Phone: 662-760-7963
Primary Practice Address: 1967 EMILY ST, TUPELO, MS
Practice's phone: 662-760-7963