Individual
CAROLYN SMITH LACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9100
Mailing address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 638-9438
(205) 638-2875
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1143114
AL
Other
Enumeration date
12/10/2014
Last updated
01/22/2025
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