MRS. Lacy Hicks, CPNP
NPI #1396465621 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1396465621
- Entity Type
- Individual
- Name
- MRS. Lacy Hicks, CPNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pediatrics - Pediatric Cardiology
- Credential
- CPNP
- Enumeration Date
- Aug 29, 2022
- Last Updated
- Sep 4, 2023
Practice Location
- Address
- 2312 KNOB CREEK RD STE 208
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-2367
- Phone
- (423) 610-1099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Cardiology — Pediatric Cardiology |
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