Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lacrista Montgomery, SPECIALUST

Individual provider Prosthetics Case Management · NPI 1710505649

Lacrista Montgomery, SPECIALUST is a Prosthetics Case Management in Tupelo, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020

Practice location Address checks out

811 Garfield St
Tupelo, MS 38801-5748
Phone: (662) 422-6044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence 0059659 (MS)

Record details

NPI number1710505649
Entity typeIndividual (Type 1)
GenderFemale
Credentials SPECIALUST
Sole proprietorYes
NPI enumeratedJuly 7, 2020
Last updated in NPPESJuly 7, 2020
Certification dateJuly 7, 2020

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