Individual
LACEY W WHITTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1026 N FLOWOOD DR, FLOWOOD, MS 39232-9532
(601) 932-1000
Mailing address
3010 LAKELAND CV, SUITE J, FLOWOOD, MS 39232-9784
(601) 936-0684
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R882956
MS
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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