Individual
DR. LACEY DILLARD PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3001 KNOXVILLE CENTER DR, SUITE 2294, KNOXVILLE, TN 37924-5044
(865) 544-1677
(865) 525-3467
Mailing address
3001 KNOXVILLE CENTER DR, SUITE 2294, KNOXVILLE, TN 37924-5044
(865) 544-1677
(865) 525-3467
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2667
TN
Other
Enumeration date
08/17/2006
Last updated
09/26/2017
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