MRS. Lacie Black, NP-C
NPI #1336784370 in Chattanooga, Tennessee
Provider Information
- NPI Number
- 1336784370
- Entity Type
- Individual
- Name
- MRS. Lacie Black, NP-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP-C
- Enumeration Date
- Nov 13, 2019
- Last Updated
- Feb 13, 2020
Practice Location
- Address
- 2415 MCCALLIE AVE
- City
- Chattanooga
- State
- Tennessee
- ZIP Code
- 37404-3322
- Phone
- (423) 624-2696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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