Lacey Dillard Puckett O.D.

NPI 1053424457 - Optometrist - 152W00000X

NPI Details
NPI 1053424457
Gender Female
Enumeration Date 08/17/2006
Last Updated 07/07/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
3001 KNOXVILLE CENTER DR
SUITE 2294
KNOXVILLE TN, 37924-5044, US
Phone (865) 544-1677
Fax (865) 525-3467
Business Location
3001 KNOXVILLE CENTER DR
SUITE 2294
KNOXVILLE TN, 37924-5044, US
Phone (865) 544-1677
Fax (865) 525-3467
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number 2667
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According to our database, Dr. Lacey Dillard Puckett O.D. NPI is 1053424457, taxonomy code is 152W00000X and license number is 2667, license state is located at Tennessee. Lacey Dillard Puckett O.D. physically located at 3001 Knoxville Center Dr, Knoxville TN, 37924-5044. NPI Number Lacey Dillard Puckett O.D. has the Individual type.

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1053424457 NPI number is provided on an as is basis without warranty of any kind. 1053424457 is maintained by the National Plan & Provider Enumeration System. The contents of Lacey Dillard Puckett O.D. are for informational purposes only.