MR. LAKEDRIAN GUY IDMT
NPI 1679828842
Military Health Care Provider - Independent Duty Medical Technicians in Gulfport, MS

Active since July 13, 2012
980 COURTHOUSE RD APT 1521, GULFPORT, MS 39507(850) 450-7044 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Lakedrian Guy Idmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LAKEDRIAN GUY IDMT (NPI 1679828842) is an individual independent duty medical technicians provider in Gulfport, Mississippi and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1679828842
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. LAKEDRIAN GUYCredential: IDMT
Location Address980 COURTHOUSE RD APT 1521Gulfport, MS 39507-4298
Mailing Address980 Courthouse Rd Apt 1521Gulfport, MS 39507-4298 · (850) 450-7044
Sole ProprietorNo
Enumeration DateJuly 13, 2012
NPI 1679828842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
980 COURTHOUSE RD APT 1521, Gulfport, MS 39507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakedrian Guy's NPI number?

The NPI number for Lakedrian Guy is 1679828842. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Lakedrian Guy located?

Lakedrian Guy practices at 980 Courthouse Rd Apt 1521, Gulfport, MS 39507. The listed phone number is (850) 450-7044.

What is Lakedrian Guy's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Lakedrian Guy was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.