Lacey Daniel Pruitt

NPI #1588533764 in Dacula, Georgia

Provider Information

NPI Number
1588533764
Entity Type
Individual
Name
Lacey Daniel Pruitt
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Nov 4, 2025
Last Updated
Nov 4, 2025

Practice Location

Address
3603 MARYS VIEW LN
City
Dacula
State
Georgia
ZIP Code
30019-1616
Phone
(678) 852-8707

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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