Susan Northern Lacy MD

NPI 1710998729 - Obstetrics & Gynecology - 207VX0000X

NPI Details
NPI 1710998729
Gender Female
Enumeration Date 08/11/2006
Last Updated 06/19/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
6401 POPLAR AVE STE 530
MEMPHIS TN, 38119-4840, US
Phone (901) 767-9368
Fax (901) 767-9496
Business Location
6401 POPLAR AVE STE 530
MEMPHIS TN, 38119-4840, US
Phone (901) 767-9368
Fax (901) 767-9496
Toxanomy
Taxonomy Code 207VX0000X
License State Tennessee
License Number 28143
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According to our database, Susan Northern Lacy MD NPI is 1710998729, taxonomy code is 207VX0000X and license number is 28143, license state is located at Tennessee. Susan Northern Lacy MD physically located at 6401 Poplar Ave Ste 530, Memphis TN, 38119-4840. NPI Number Susan Northern Lacy MD has the Individual type.

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1710998729 NPI number is provided on an as is basis without warranty of any kind. 1710998729 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Northern Lacy MD are for informational purposes only.