Lacey Beard Mixon, CRNP

NPI #1295218774 in Dothan, Alabama

Provider Information

NPI Number
1295218774
Entity Type
Individual
Name
Lacey Beard Mixon, CRNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
CRNP
Enumeration Date
Sep 11, 2018
Last Updated
Sep 11, 2018

Practice Location

Address
1781 E COTTONWOOD RD
City
Dothan
State
Alabama
ZIP Code
36301-5309
Phone
(334) 678-5851

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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