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

Lakitta Shuntel Black

Individual provider Specialist · NPI 1780314286

Lakitta Shuntel Black is a Specialist in Olive Branch, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2022
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Practice location Address checks out

7721 Hacks Cross Rd Ste 114
Olive Branch, MS 38654-3909
Phone: (901) 461-2756
Fax: (662) 796-6432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 557970 (MS)

Record details

NPI number1780314286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2022
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

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