Individual
LAKYN GUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 COAL DR, MOOREVILLE, MS 38857-7045
(662) 401-9440
Mailing address
109 COAL DR, MOOREVILLE, MS 38857-7045
(662) 401-9440
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
911816
MS
Other
Enumeration date
12/27/2020
Last updated
12/27/2020
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