DR. Lacey Mongrue

NPI #1194318303 in Augusta, Georgia

Provider Information

NPI Number: 1194318303
Entity Type: Individual
Name: DR. Lacey Mongrue
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 18, 2021
Last Updated: Feb 18, 2021

Practice Location

Address: 3527 RIVER WATCH PKWY
City: Augusta
State: Georgia
ZIP Code: 30907-2919
Phone: (706) 210-0091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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