Organization
WHITECREST CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILY GUACSTELLA MD (OWNER)
(601) 624-5912
Entity
Organization
Contact information
Practice address
104 BOULEVARD ST, LEXINGTON, MS 39095-3529
(601) 624-5912
Mailing address
104 BOULEVARD ST, LEXINGTON, MS 39095-3529
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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