Leticia Gail Mangrum is a Optician Technician/Technologist in the MAYFIELD area. Leticia Gail Mangrum primary office location is at 1225 PARIS RD and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164152690 and the information was updated approximately 1 year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
License Number | State |
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110148 | KY |
Taxonomy | State | Primary? |
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Optician Technician/Technologist - Taxonomy Code 156FX1800X | KY | Y |