| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAKRISTIE RESHELLE GAMBLE | 1366145419 | 2023-05-06 |
Lakristie Reshelle Gamble is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1366145419. Registration indicates Lakristie Reshelle Gamble is a provider of services with a specialization in Suppliers, Durable Medical Equipment & Medical Supplies (Durable Medical Equipment & Medical Supplies, ) (Pharmacy/DME, ) (Durable Medical Equipment & Medical Supplies, Suppliers) (Suppliers, Prosthetic/Orthotic Supplier) (Prosthetic/Orthotic Supplier, ) (Pharmacy/DME, ) (Prosthetic/Orthotic Supplier, Suppliers)
| Entity Type | Individual |
| Provider Name | Lakristie Reshelle Gamble |
| Practice Office Address | 9763 AUDELIA RD APT 1211 DALLAS, TX US |
| Practice Office Telephone | 4694781786 |
| Mailing Address | 9763 AUDELIA RD APT 1211 DALLAS, TX 752382004 US |
| Business Telephone | 4694781786 |
| Code | Practice | License No State |
|---|---|---|
| 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies Durable Medical Equipment & Medical Supplies Pharmacy/DME Durable Medical Equipment & Medical Supplies Suppliers | |
| 335E00000X PRIMARY | Suppliers Prosthetic/Orthotic Supplier Prosthetic/Orthotic Supplier Pharmacy/DME Prosthetic/Orthotic Supplier Suppliers |